Organization
JON GAUDIO LLC
Active
Organization
JON GAUDIO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JON C GAUDIO M.D. (MD)
(860) 536-6278
Entity
Organization
Contact information
Practice address
393 FISHTOWN RD, MYSTIC, CT 06355-2039
(860) 536-6278
Mailing address
393 FISHTOWN RD, MYSTIC, CT 06355-2039
(860) 536-6278
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
040569
CT
Other
Enumeration date
05/23/2007
Last updated
08/22/2020
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