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Individual

DR. ARTHUR GUDEON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6406 FLEET STREET, REGO PARK, NY 11374
(718) 896-3080
(718) 896-3060
Mailing address
6406 FLEET STREET, REGO PARK, NY 11374
(718) 896-3080
(718) 896-3060

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
N0020481
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0017601
GHI
01
3C9512
HEALTHNET
01
4228829
AETNA MC
01
49271
AETNA HMO
01
56514
VYTRA
01
9577075
CIGNA
01
DP09044728
WORKERS COMP
01
P1381
BLUE CROSS BLUE SHEILD
01
P900597
OXFORD
Enumeration date
11/08/2006
Last updated
03/05/2008
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