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
Update your record
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