Individual
DR. ALEXANDER RUDOLF GAUDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1043 FARMINGTON AVE, WEST HARTFORD, CT 06107-2110
(860) 549-2020
(860) 549-2025
Mailing address
1043 FARMINGTON AVE, WEST HARTFORD, CT 06107-2110
(860) 549-2020
(860) 549-2025
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
011792
CT
207WX0107X
Retina Specialist (Ophthalmology) Physician
011792
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004242492
—
CT
05
—
9736841
—
MA
Enumeration date
06/01/2005
Last updated
07/21/2022
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