MEDICARE: DR. GLORIA PERRY CATTERLIN D.O.

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
1	207Q00000X	Family Medicine Physician	34-00-3602	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	H133911	OTHER	OH	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447245576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GLORIA PERRY CATTERLIN D.O.

Provider Business Mailing Address
First Line	:	1360 N CANFIELD NILES RD
Second Line	:
City	:	MINERAL RIDGE
State	:	OH
Zip	:	44440-9600
Country	:	US
Telephone Number	:	330-652-6556
Fax Number	:	330-652-6390

Provider Business Practice Location Address
First Line	:	1360 N CANFIELD NILES RD
Second Line	:
City	:	MINERAL RIDGE
State	:	OH
Zip	:	44440-9600
Country	:	US
Telephone Number	:	330-652-6556
Fax Number	:	330-652-6390

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2005
Last Update Date	:	10/17/2016

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Directions to “ DR. GLORIA PERRY CATTERLIN D.O.” Practice Location

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