Individual
JOSEPH GAUDETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2208 40TH ST NW, WASHINGTON, DC 20007-1728
(203) 312-4226
Mailing address
34 FOREST HILLS DR, NEW FAIRFIELD, CT 06812-4702
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R235866
MD
163WC0200X
Critical Care Medicine Registered Nurse
RN.1678435
CO
367500000X
Certified Registered Nurse Anesthetist
Primary
1054180
TX
367500000X
Certified Registered Nurse Anesthetist
4040759
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300127461
—
IN
05
—
7101126450
—
IN
Enumeration date
06/09/2022
Last updated
04/06/2026
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