Individual
DR. DAVID B GAUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
169 GROVE ST, PUTNAM, CT 06260-2115
(860) 963-2020
(860) 928-2040
Mailing address
169 GROVE ST, PUTNAM, CT 06260-2115
(860) 963-2020
(860) 928-2040
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002090
CT
Other
Enumeration date
01/30/2006
Last updated
01/14/2008
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