Individual provider · Type 1 NPI

Demry Rose Gdovin, PA-C

Medical Physician Assistant · Waterbury, CT

NPI number 1710818307 Active

Practice location

64 Robbins St
Waterbury, CT 06708-2600

Call (203) 573-6290 Map

Mailing address

12 Riverside Dr
Wallingford, CT 06492-5335

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1710818307

Demry Rose Gdovin, PA-C's National Provider Identifier is 1710818307, issued on May 25, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Waterbury, CT. The record was last updated on May 25, 2026.