Gaudiose, Michael C
Gaudiose, Michael C is an individual health care provider with primary practice located at 11110 Medical Campus Rd Ste 200 , Hagerstown MD 21742-6797. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Gaudiose, Michael C can be contacted via phone (301) 714-4400.Contact Information
Primary practice address
11110 Medical Campus Rd Ste 200
Hagerstown MD 21742-6797
Phone: (301) 714-4400
Fax: (301) 714-4424
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD023572E | Pennsylvania |
Profile Details
| NPI number | 1578567939 |
|---|---|
| LBN Legal business name | Gaudiose, Michael C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2005 |
| Last updated | Mar 7th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578567939 | NPPES |
| Pennsylvania | Other | 120420409 | DEPT OF LABOR |
| Pennsylvania | Other | 247731 | DEPT OF LABOR |
| Pennsylvania | MEDICAID | 000633588 0016 | DEPT OF LABOR |
| Pennsylvania | Other | 080087624 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | 122713 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | 842259 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | 01651101 | DEPT OF LABOR |
| Pennsylvania | Other | 25-1716306 | DEPT OF LABOR |
| Pennsylvania | Other | MD023572E | DEPT OF LABOR |
| Pennsylvania | Other | 4342474 | DEPT OF LABOR |
| Pennsylvania | Other | 867633 | DEPT OF LABOR |
| Pennsylvania | Other | GA152793 | DEPT OF LABOR |
| Pennsylvania | Other | 1336348 | DEPT OF LABOR |
| Pennsylvania | Other | 426729 | DEPT OF LABOR |
| Pennsylvania | Other | P006021 | DEPT OF LABOR |
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