Individual
KAREN S GUADAGNINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
102 NORTH ST, BRISTOL, CT 06010-4190
(860) 314-2082
(860) 314-8133
Mailing address
PO BOX 2828, BRISTOL, CT 06011-2828
(860) 585-3906
(860) 585-3907
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
034917
CT
207RA0401X
Addiction Medicine (Internal Medicine) Physician
034917
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001349176
—
CT
Enumeration date
10/05/2005
Last updated
02/22/2011
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