Individual
EDWARD JOHN GAYDOS
Active
Individual
EDWARD JOHN GAYDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34004907
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025802
UNICARE LIFE AND HEALTH
OH
05
—
0812213
—
OH
01
—
386527
WELLCARE
OH
01
—
K04907
SUMMACARE HEALTH PLAN
OH
Enumeration date
08/10/2005
Last updated
10/30/2011
Update your record
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