Gaudio, Alexander Rudolf

Gaudio, Alexander Rudolf is an individual health care provider with primary practice located at 1043 Farmington Ave , West Hartford CT 06107-2110. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Gaudio, Alexander Rudolf can be contacted via phone (860) 549-2020.

Contact Information

Primary practice address
1043 Farmington Ave West Hartford CT 06107-2110
Phone: (860) 549-2020
Fax: (860) 549-2025
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Retina Specialist 207WX0107X 011792 Connecticut
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 011792 Connecticut

Profile Details

NPI number 1467454728
LBN Legal business name Gaudio, Alexander Rudolf
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467454728 NPPES
Connecticut MEDICAID 004242492
Connecticut MEDICAID 9736841

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