Provider Demographics
NPI:1326144551
Name:SEDITA-GATTO, JESSICA (ND)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:
Last Name:SEDITA-GATTO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 HILLSIDE RD
Mailing Address - Street 2:
Mailing Address - City:OLD LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06371-1108
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:283 BOSTON POST RD STE B
Practice Address - Street 2:
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1571
Practice Address - Country:US
Practice Address - Phone:203-453-1906
Practice Address - Fax:203-453-2012
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
CT000333175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT110000333CT02OtherBLUE CROSS BLUE SHIELD
CTP3645619OtherOXFORD
CT033330OtherCONNECTICARE
CT2V6047OtherHEALTHNET