Gaudio, Jon C

Gaudio, Jon C is an individual health care provider with primary practice located at 196 Parkway South Suite 103, Waterford CT 06385. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Gaudio, Jon C can be contacted via phone (860) 443-4383.

Contact Information

Primary practice address
196 Parkway South Suite 103 Waterford CT 06385
Fax: (860) 448-6797
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 40569 Connecticut

Profile Details

NPI number 1205885258
LBN Legal business name Gaudio, Jon C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Feb 20th, 2013 - about 13 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 1205885258 NPPES
Other 06-1616101 UNITEDHEALTHCARE/ECCD
Other 06-1616101 UNITEDHEALTHCARE/ECCD
Other 010040569CT01 UNITEDHEALTHCARE/ECCD
Other P2680050 UNITEDHEALTHCARE/ECCD
Other 010040569CT03 UNITEDHEALTHCARE/ECCD
Other 2V2262 UNITEDHEALTHCARE/ECCD
Other 040569 UNITEDHEALTHCARE/ECCD
Other 06-1049086 UNITEDHEALTHCARE/ECCD
Other 06-1049086 UNITEDHEALTHCARE/ECCD
Other 060070007 UNITEDHEALTHCARE/ECCD
Other P3615266 UNITEDHEALTHCARE/ECCD
MEDICAID 001405697 UNITEDHEALTHCARE/ECCD
Other 060069422 UNITEDHEALTHCARE/ECCD
Other 001405697 UNITEDHEALTHCARE/ECCD
Other 2V2256 UNITEDHEALTHCARE/ECCD
Other 500HBC444CT01 UNITEDHEALTHCARE/ECCD

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