Provider Demographics
NPI:1619068616
Name:GATTO, CHARLES (MD)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:
Last Name:GATTO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2266
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07962-2266
Mailing Address - Country:US
Mailing Address - Phone:973-538-0900
Mailing Address - Fax:973-845-7610
Practice Address - Street 1:160 E HANOVER AVE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-3150
Practice Address - Country:US
Practice Address - Phone:973-538-2334
Practice Address - Fax:973-829-9174
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07163900174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5713654OtherGHI PPO#
NJ223014220OtherTAX ID#
NJN60539OtherAMERIHEALTH ADM #
NJP998388OtherOXFORD #
NJ2053015000OtherAMERIHEALTH#
NJ8386501Medicaid
NJ2428038OtherAETNA HMO#
NJ5090668OtherAETNA PPO#
NJN60539OtherAMERIHEALTH ADM #
NJ2428038OtherAETNA HMO#