| NPI | 1194901504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL GAETANO President 860-625-5537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000645) |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2010-05-20 |