Organization
ALLEGHENY FOOT & ANKLE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MICHAEL GAETANO DPM (PRESIDENT)
(860) 625-5537
Entity
Organization
Contact information
Practice address
914 HARTFORD TPKE, WATERFORD, CT 06385-4263
(860) 443-3838
(860) 443-3839
Mailing address
914 HARTFORD TPKE, WATERFORD, CT 06385-4263
(860) 443-3838
(860) 443-3839
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000645
CT
Other
Enumeration date
01/15/2008
Last updated
05/20/2010
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