JOHN M GAETANO DPM

Dr JOHN M GAETANO DPM is a male medical professional, specializing in Podiatry. He graduated in 1995 from Ohio College Of Podiatric Medicine.

Contact

914 HARTFORD TPKE
SUITE 205
WATERFORD
CT
063854276

Tel:

JOHN M GAETANO DPM Information

Npi 1457331357
Pac Id 7810953676
Professional Enrollment Id I20041203000712
Last Name GAETANO
First Name JOHN
Middle Name M
Suffix
Gender M
Credential DPM
Medical School Name OHIO COLLEGE OF PODIATRIC MEDICINE
Graduation Year 1995
Primary Specialty PODIATRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 914 HARTFORD TPKE
Line 2 Street Address SUITE 205
Marker Of Address Line 2 Suppression
City WATERFORD
State CT
Zip Code 063854276
Phone Number
Hospital Affiliation Ccn 1 070007
Hospital Affiliation Lbn 1 LAWRENCE & MEMORIAL HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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