Gaudenzia INC

NPI #1194938340 in Landover, Maryland

Provider Information

NPI Number: 1194938340
Entity Type: Organization
Organization Name: Gaudenzia INC
Primary Specialty: Clinic/Center
Enumeration Date: May 7, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 337 BRIGHTSEAT RD
City: Landover
State: Maryland
ZIP Code: 20785-4736
Phone: (301) 324-1201

Authorized Official

Name: MR. MICHAEL J MOYLE, J.D.
Title: DIR. FISCAL & CORPORATE OPERATIONS
Phone: (610) 239-9600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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