Individual
DR. CLAUDIA GABRIELA GIDEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
530 1ST AVE, NEW YORK, NY 10016-6402
(646) 501-0119
Mailing address
201 LYONS AVE, L4, NEWARK, NJ 07112-2027
(973) 926-7205
(973) 923-8993
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036100990
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633245
BC/BS
IL
05
—
036100990
—
IL
01
—
P00004340
MEDICARE TRAVELERS
IL
01
—
R00047
MEDICARE PTAN
IL
Enumeration date
07/08/2006
Last updated
05/31/2022
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