Evan James Gaudette, PA-C is a
General Practice physician based in Bridgeport, Connecticut. Evan James Gaudette is licensed to practice in Connecticut (license number 7631) and his current practice location is 754 Clinton Ave, Bridgeport, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(207) 951-3929.
NPI number for Evan James Gaudette is 1275488108 and his current mailing address is 44 John St Apt 321, Stamford, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275488108.
Physician's Profile
| Full Name | Evan James Gaudette |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 754 Clinton Ave, Bridgeport, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275488108
- Provider Enumeration Date: 03/04/2026
- Last Update Date: 03/04/2026
Medical Identifiers
Medical identifiers for Evan James Gaudette such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275488108 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 7631 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evan James Gaudette is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evan James Gaudette, PA-C
44 John St Apt 321,
Stamford, CT 06902-5868
Ph: () - | Evan James Gaudette, PA-C
754 Clinton Ave,
Bridgeport, CT 06604-2369
Ph: (207) 951-3929 |
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