Organization
JOHN ERIC DECATO DPM INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ERIC DECATO DPM (PRESIDENT)
(440) 992-4477
Entity
Organization
Contact information
Practice address
3903 LAKE AVE, ASHTABULA, OH 44004-5833
(440) 992-4477
(440) 998-5452
Mailing address
3903 LAKE AVE, ASHTABULA, OH 44004-5833
(440) 992-4477
(440) 998-5452
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0905015
—
OH
Enumeration date
04/26/2007
Last updated
02/16/2017
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