Provider Demographics
NPI:1598716904
Name:GATTO, VINCENT JOHN
Entity Type:Individual
Prefix:
First Name:VINCENT
Middle Name:JOHN
Last Name:GATTO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 PONDMEADOW DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-3218
Mailing Address - Country:US
Mailing Address - Phone:781-944-6564
Mailing Address - Fax:781-944-4764
Practice Address - Street 1:20 PONDMEADOW DR
Practice Address - Street 2:SUITE 108
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-3218
Practice Address - Country:US
Practice Address - Phone:781-944-6564
Practice Address - Fax:781-944-4764
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4666225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0375934Medicaid
MAY65778OtherBLUE CROSS BLUE SHIELD
MA0034116OtherNEIGHBORHOOD HEALTH PLAN
MA732643OtherTUFTS
MAY65778OtherBLUE CROSS BLUE SHIELD