Individual
DR. NICHOLAS MATTHEW GARRITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3660 STARRS CENTRE DR, SUITE 2, CANFIELD, OH 44406-8506
(440) 366-5600
(440) 366-6766
Mailing address
3660 STARRS CENTRE DR, SUITE 2, CANFIELD, OH 44406-8506
(330) 702-1606
(330) 702-0160
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34004414
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000532429
ANTHEM
OH
01
—
0798194
AETNA
OH
05
—
0920347
—
OH
Enumeration date
11/21/2005
Last updated
04/21/2015
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