Provider Demographics
NPI:1679532261
Name:GARRITANO, DANIEL (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:GARRITANO
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 STUTZ DR STE 203
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-8151
Mailing Address - Country:US
Mailing Address - Phone:330-533-6999
Mailing Address - Fax:330-533-5498
Practice Address - Street 1:3660 STUTZ DR STE 203
Practice Address - Street 2:
Practice Address - City:CANFIELD
Practice Address - State:OH
Practice Address - Zip Code:44406-8151
Practice Address - Country:US
Practice Address - Phone:330-533-6999
Practice Address - Fax:330-533-5498
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-21
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-0478362086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery