Provider Demographics
NPI:1710192083
Name:GAJDOS, CSABA (MD)
Entity Type:Individual
Prefix:
First Name:CSABA
Middle Name:
Last Name:GAJDOS
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:29 HOSPITAL PLAZA
Mailing Address - Street 2:SUITE 603
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-3602
Mailing Address - Country:US
Mailing Address - Phone:203-276-5959
Mailing Address - Fax:203-276-5969
Practice Address - Street 1:29 HOSPITAL PLAZA
Practice Address - Street 2:SUITE 603
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-3602
Practice Address - Country:US
Practice Address - Phone:203-276-5959
Practice Address - Fax:203-276-5969
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2016-12-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT558692086X0206X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCO305533Medicare PIN
CO52983749Medicaid