# ROBERT J GAUDET

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1518908169
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 0101036758 | VA | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | 0101367586 | VA | Yes |
| 2083P0500X | Preventive Medicine/Occupational Environmental Medicine Physician | D35461 | MD | — |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 08/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1518908169 | — | VA |
| 05 | — | 549841400 | — | MD |
| 05 | — | 5600378000 | — | VA |