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Contact Information

JOHN M GAETANO, DPM FACFAS
914 HARTFORD TURNPIKE
WATERFORD, CT06385
 Phone: 860-443-3838
 Fax: 860-443-3839
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JOHN M GAETANO · (Male)

NPI Number 1457331357
Status Active
Credentials DPM FACFAS
Entity Individual
Enumeration date 01/18/2006
Last updated 05/20/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 000645
  • Other 7718016 AETNA
  • CT Other 030000645CT03 ANTHEM
  • CT Other 645000 CONNECTICARE
  • CT Other 3V2049 HEALTHNET
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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