Provider Demographics
NPI:1902870280
Name:AIUDI, DONNA A (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:A
Last Name:AIUDI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:UCONN MEDICAL GROUP
Mailing Address - Street 2:21 SOUTH RD
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06030-0001
Mailing Address - Country:US
Mailing Address - Phone:860-679-4600
Mailing Address - Fax:860-679-1024
Practice Address - Street 1:UCONN MEDICAL GROUP
Practice Address - Street 2:21 SOUTH RD
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06030-0001
Practice Address - Country:US
Practice Address - Phone:860-679-4600
Practice Address - Fax:860-679-1024
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT034521207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT010034521CT04OtherBLUE SHIELD
CT9634690OtherCIGNA
CT5007001OtherAETNA
CT2V6048OtherHEALTHNET
CT345210OtherCONNECTICARE
CT9634690OtherCIGNA
CT5007001OtherAETNA