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Individual
S ANTHONY GAETA
Active
Individual
S ANTHONY GAETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35057432
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0786510
—
OH
Enumeration date
04/19/2007
Last updated
08/17/2011
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