Gaeta, Mary Lou

Gaeta, Mary Lou is an individual health care provider with primary practice located at 2150 Corbin Ave , New Britain CT 06053-2266. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Gaeta, Mary Lou can be contacted via phone (860) 827-4748.

Contact Information

Primary practice address
2150 Corbin Ave New Britain CT 06053-2266
Phone: (860) 827-4748
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 035503 Connecticut
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 035503 Connecticut
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 035503 Connecticut

Profile Details

NPI number 1922080647
LBN Legal business name Gaeta, Mary Lou
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Feb 1st, 2024 - about 7 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922080647 NPPES
Connecticut MEDICAID 001355032

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