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Shanshan Elissa Gustafson
Student in an Organized Health Care Education/Training Program in Gaithersburg, Maryland
NPI 1417537259

Shanshan Elissa Gustafson is a Student in an Organized Health Care Education/Training Program based in Gaithersburg, MD. Shanshan Elissa Gustafson practices in Gaithersburg, MD. The NPI Number for Shanshan Elissa Gustafson is 1417537259 and holds a License No. D0097815 (Maryland).

The current practice location address for Shanshan Elissa Gustafson is 655 Watkins Mill Rd Fl 5, Gaithersburg, MD and can be reached out via phone at 240-632-4021.

Location: 655 Watkins Mill Rd Fl 5, Gaithersburg, MD, 20879-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417537259
Provider Name
Shanshan Elissa Gustafson
Credential
Provider Entity Type
Individual
Gender
Female
Address
655 Watkins Mill Rd Fl 5, Gaithersburg, MD, 20879-3301
Phone Number
240-632-4021
Fax Number
Provider Enumeration Date
04/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
655 Watkins Mill Rd Fl 5
City
Gaithersburg
State
Maryland
Zip
20879-3301
Phone Number
240-632-4021
Fax Number
person
Provider Business Mailing Address Details
Address
655 Watkins Mill Rd Fl 5
City
Gaithersburg
State
Maryland
Zip
20879-3301
Phone Number
240-632-4021
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
()
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
D0097815 (Maryland)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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