National Provider Identifier Database

GAUDENZIA INC
Rehabilitation, Substance Use Disorder


Contact Information

GAUDENZIA INC
607 EAST CHURCH LANE
APT. B-6
PHILADELPHIA, PA19144
Phone: 215-848-0280
Fax: 215-848-6747
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for GAUDENZIA INC

NPI Number 1437377181
Legal business name
LBN
GAUDENZIA INC
Authorized official MICHAEL COYLE - (DIR. FISCAL & ACCOUNTING OPERATIONS)
Entity Organization
Organization subpart No
Enumeration date 04/20/2007
Last updated 06/22/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: 199110
  • PA Medicaid: 1002285890089

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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