Provider Demographics
NPI:1164623542
Name:DR. N.M. GARRITANO, INC.
Entity Type:Organization
Organization Name:DR. N.M. GARRITANO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:GARRITANO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:330-702-1606
Mailing Address - Street 1:3660 STARRS CENTRE DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9514
Mailing Address - Country:US
Mailing Address - Phone:330-702-1606
Mailing Address - Fax:330-702-0160
Practice Address - Street 1:3660 STARRS CENTRE DR
Practice Address - Street 2:SUITE 2
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-9514
Practice Address - Country:US
Practice Address - Phone:330-702-1606
Practice Address - Fax:330-702-0160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34004414207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty