MEDICARE: DR. GERMANO GUADAGNOLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	030610	CT

General Provider Information

NPI Number	:	1962415562
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GERMANO GUADAGNOLI MD

Provider Business Mailing Address
First Line	:	5520 PARK AVE
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-3463
Country	:	US
Telephone Number	:	203-371-5873
Fax Number	:	203-371-5874

Provider Business Practice Location Address
First Line	:	5520 PARK AVE
Second Line	:
City	:	TRUMBULL
State	:	CT
Zip	:	06611-3463
Country	:	US
Telephone Number	:	203-371-5873
Fax Number	:	203-371-5874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2006
Last Update Date	:	12/28/2025

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