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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 Specialty Code Provider Type

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for GAUDENZIA INC

NPI # 1437377181
LBN Legal business name GAUDENZIA INC
Authorized official MICHAEL COYLE - (DIR. FISCAL & ACCOUNTING OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2007
Last updated 06/22/2016 - About 10 years ago
Identifiers
PA License # 199110
PA Medicaid 1002285890089
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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