Individual
JON C GAUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
196 PARKWAY SOUTH, SUITE 103, WATERFORD, CT 06385
(860) 443-4383
(860) 448-6797
Mailing address
481 GOLD STAR HWY, SUITE 101, GROTON, CT 06340-6224
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
40569
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001405697
BLUECARE FAMILY PLAN
—
05
—
001405697
—
CT
01
—
010040569CT01
ANTHEM/ECCG:06-1049086
—
01
—
010040569CT03
ANTHEM/ECCD:06-1616101
—
01
—
040569
CONNECTICARE
—
01
—
06-1049086
COMM. HEALTH NETWORK/ECCG
—
01
—
06-1616101
UNITEDHEALTHCARE/ECCD
—
01
—
060069422
RR MED/ECCG: 06-1049086
—
01
—
060070007
RR MED/ECCD: 06-1616101
—
01
—
2V2256
HEALTHNET/ECCG:06-1049086
—
01
—
2V2262
HEALTHNET/ECCD:06-1616101
—
01
—
500HBC444CT01
ANTHEM/HOSP-BASED ECCD
—
01
—
P2680050
OXFORD/ECCG: 06-1049086
—
01
—
P3615266
OXFORD/ECCD: 06-1616101
—
Enumeration date
05/08/2006
Last updated
02/20/2013
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