Provider Demographics
NPI:1184809527
Name:JAMES G. CATALDO DPM
Entity type:Organization
Organization Name:JAMES G. CATALDO DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:978-840-0043
Mailing Address - Street 1:14 MANNING AVE
Mailing Address - Street 2:SUITE #302
Mailing Address - City:LEOMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01453-5768
Mailing Address - Country:US
Mailing Address - Phone:978-840-0043
Mailing Address - Fax:978-840-2901
Practice Address - Street 1:14 MANNING AVE
Practice Address - Street 2:SUITE #302
Practice Address - City:LEOMINSTER
Practice Address - State:MA
Practice Address - Zip Code:01453-5768
Practice Address - Country:US
Practice Address - Phone:978-840-0043
Practice Address - Fax:978-840-2901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1940332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA4876150001Medicare NSC
MAU24042Medicare UPIN