Individual
DR. ALISON GAUDET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 GRANITE DR, SUITE 200, MEDIA, PA 19063-5134
(610) 565-1945
(610) 892-7848
Mailing address
100 GRANITE DR, SUITE 200, MEDIA, PA 19063-5134
(610) 565-1945
(610) 892-7848
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD-421312
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001957393
—
PA
Enumeration date
03/29/2006
Last updated
04/02/2009
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