Individual
DR. JOHN E. GAETANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
614 STILLWATER AVE, OLD TOWN, ME 04468-2120
(207) 827-2616
(207) 827-3244
Mailing address
614 STILLWATER AVE, OLD TOWN, ME 04468-2120
(207) 827-2616
(207) 827-3244
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT759
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254540099
—
ME
Enumeration date
06/13/2005
Last updated
03/05/2014
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