Gaudet, Alison

Gaudet, Alison is an individual health care provider with primary practice located at 100 Granite Dr Suite 200, Media PA 19063-5134. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gaudet, Alison can be contacted via phone (610) 565-1945.

Contact Information

Primary practice address
100 Granite Dr Suite 200 Media PA 19063-5134
Fax: (610) 892-7848
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD-421312 Pennsylvania

Profile Details

NPI number 1215998380
LBN Legal business name Gaudet, Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Apr 2nd, 2009 - about 17 years 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 1215998380 NPPES
Pennsylvania MEDICAID 001957393

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