Provider Demographics
NPI:1295883940
Name:GATTI, JOHN D
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:D
Last Name:GATTI
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 1:389 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:BRANCHBURG
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-3554
Mailing Address - Country:US
Mailing Address - Phone:908-595-1434
Mailing Address - Fax:908-595-1434
Practice Address - Street 1:389 RIVER RD
Practice Address - Street 2:
Practice Address - City:BRANCHBURG
Practice Address - State:NJ
Practice Address - Zip Code:08876-3554
Practice Address - Country:US
Practice Address - Phone:908-595-1434
Practice Address - Fax:908-595-1434
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00578900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist