Individual provider · Type 1 NPI

Jacob Gallagher, PA-C

Medical Physician Assistant · Philadelphia, PA

NPI number 1235012048 Active

Practice location

3501 N Broad St
Philadelphia, PA 19140-4147

Call (800) 836-7536 Map

Mailing address

749 N 25th St Fl 2
Philadelphia, PA 19130-2438

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1235012048

Jacob Gallagher, PA-C's National Provider Identifier is 1235012048, issued on Jul 29, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 29, 2025.