Individual
EDWARD JOHN GAYDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6559 WILSON MILLS RD, BLDG D SUITE 101, MAYFIELD VILLAGE, OH 44143-6402
(440) 473-0010
(440) 460-2812
Mailing address
1346 LEDGEWOOD DR, AKRON, OH 44333-1154
(330) 670-0442
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
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