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NPI Code Detail

MEDICARE: DR. ANTHONY JOHN GATELARO D.C.

MEDICARE:  DR. ANTHONY JOHN GATELARO  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor1835OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000134885OTHEROHBLUE CROSS/ BLUE SHIELD

General Provider Information

NPI Number : 1346270204
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANTHONY JOHN GATELARO D.C.
Provider Business Mailing Address
First Line : 1251 MONROE ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-4139
Country : US
Telephone Number : 330-343-8668
Fax Number : 330-364-8826
Provider Business Practice Location Address
First Line : 1251 MONROE ST NW
Second Line :
City : NEW PHILADELPHIA
State : OH
Zip : 44663-4139
Country : US
Telephone Number : 330-343-8668
Fax Number : 330-364-8826
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/04/2006
Last Update Date : 03/10/2023

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Directions to “ DR. ANTHONY JOHN GATELARO D.C.” Practice Location

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