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Organization

ALICIA R GUIDONE, DPM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALICIA RAMONA GUIDONE DPM (PODIATRIST)
(203) 640-0385
Entity
Organization

Contact information

Practice address
141 DURHAM RD, UNIT #15, MADISON, CT 06443-2676
(203) 421-6239
(203) 421-6243
Mailing address
101 HALF MILE RD, GUILFORD, CT 06437-4101
(203) 640-0385

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
000694
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6682620001
MEDICARE DMEPOS PTAN
Enumeration date
05/26/2011
Last updated
12/01/2015
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