Organization
GAETANI EYE CARE ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E GAETANI OD (PRESIDENT)
(207) 827-2616
Entity
Organization
Contact information
Practice address
614 STILLWATER AVE, OLD TOWN, ME 04468-2120
(207) 827-2616
Mailing address
614 STILLWATER AVE, OLD TOWN, ME 04468-2120
(207) 827-2616
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2058619
AETNA ID NUMBER
ME
Enumeration date
02/13/2007
Last updated
01/30/2008
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