Individual
DR. MICHAEL C GAUDIOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11110 MEDICAL CAMPUS RD STE 200, HAGERSTOWN, MD 21742-6797
(301) 714-4400
(301) 714-4424
Mailing address
22 ST PAUL DR STE 200, CHAMBERSBURG, PA 17201-1036
(717) 709-7922
(717) 263-2055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD023572E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000633588 0016
—
PA
01
—
01651101
CAPITAL BLUECROSS
PA
01
—
080087624
RAILROAD MEDICARE
PA
01
—
120420409
DEPT OF LABOR
PA
01
—
122713
UNISON
PA
01
—
1336348
FIRST HEALTH
PA
01
—
247731
MAMSI
PA
01
—
25-1716306
HEALTHNET/TRICARE
PA
01
—
426729
HEALTH AMERICA
PA
01
—
4342474
AETNA NON-HMO
PA
01
—
842259
AETNA HMO
PA
01
—
867633
MEDICARE GROUP #
PA
01
—
GA152793
HIGHMARK BLUE SHIELD
PA
01
—
MD023572E
LICENSE
PA
01
—
P006021
GATEWAY
PA
Enumeration date
06/13/2005
Last updated
03/07/2023
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