Provider Demographics
NPI:1295799740
Name:CATALANO, GREGORY D (DPM)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:D
Last Name:CATALANO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1732 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-3837
Mailing Address - Country:US
Mailing Address - Phone:978-369-2665
Mailing Address - Fax:978-371-9914
Practice Address - Street 1:1732 MAIN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3837
Practice Address - Country:US
Practice Address - Phone:978-369-2665
Practice Address - Fax:978-371-9914
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2009-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1967213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MACAY70944OtherBLUE SHEILD OF MA
MA001967OtherTUFTS HEALTH PLAN
MA0018409OtherNEIGHBORHOOD HEALTH PLAN
MA0714038Medicaid
MA33375OtherHARVARD PILGRIM HEALTH
MA36070OtherFALLON HEALTH PLAN
MA611134600OtherDEPT OF LABOR
MA2700299OtherUNITED HEALTH PLAN
MA9787712Medicaid
MA33375OtherHARVARD PILGRIM HEALTH
MA611134600OtherDEPT OF LABOR
MA36070OtherFALLON HEALTH PLAN