Provider Demographics
NPI:1205852456
Name:SPAULDING, CLAUDIA B (MD)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:B
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 E JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1211
Mailing Address - Country:US
Mailing Address - Phone:203-271-0826
Mailing Address - Fax:
Practice Address - Street 1:805 E JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-1211
Practice Address - Country:US
Practice Address - Phone:203-271-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT026231207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT001261312Medicaid
CT050000300Medicare ID - Type UnspecifiedMEDICARE INDIVIUAL ID#