Individual
DR. JOHN MICHAEL GAETANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM FACFAS
Contact information
Practice address
914 HARTFORD TURNPIKE, WATERFORD, CT 06385
(860) 443-3838
(860) 443-3839
Mailing address
914 HARTFORD TURNPIKE, WATERFORD, CT 06385
(860) 443-3838
(860) 443-3839
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000645
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000645CT03
ANTHEM
CT
01
—
3V2049
HEALTHNET
CT
01
—
645000
CONNECTICARE
CT
01
—
7718016
AETNA
—
Enumeration date
01/18/2006
Last updated
05/20/2010
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