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Contact Information

JON C GAUDIO, MD
196 PARKWAY SOUTH
SUITE 103
WATERFORD, CT06385
 Phone: 860-443-4383
 Fax: 860-448-6797
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JON C GAUDIO · (Male)

NPI # 1205885258
Status Active
Credentials MD
Entity Individual
Enumeration date 05/08/2006
Last updated 02/20/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 40569
  • CT Medicaid 001405697
  • Other 010040569CT03 ANTHEM/ECCD:06-1616101
  • Other 010040569CT01 ANTHEM/ECCG:06-1049086
  • Other 500HBC444CT01 ANTHEM/HOSP-BASED ECCD
  • Other 001405697 BLUECARE FAMILY PLAN
  • Other 06-1616101 COMM. HEALTH NETWORK/ECCD
  • Other 06-1049086 COMM. HEALTH NETWORK/ECCG
  • Other 040569 CONNECTICARE
  • Other 2V2262 HEALTHNET/ECCD:06-1616101
  • Other 2V2256 HEALTHNET/ECCG:06-1049086
  • Other P3615266 OXFORD/ECCD: 06-1616101
  • Other P2680050 OXFORD/ECCG: 06-1049086
  • Other 060070007 RR MED/ECCD: 06-1616101
  • Other 060069422 RR MED/ECCG: 06-1049086
  • Other 06-1616101 UNITEDHEALTHCARE/ECCD
  • Other 06-1049086 UNITEDHEALTHCARE/ECCG
Hospital affiliation(s)
  • LAWRENCE & MEMORIAL HOSPITAL - (Acute Care)
    365 MONTAUK AVE
    NEW LONDON, CT 06320
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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