Dr. Justin C Gunn, MD
General Practice in Groton, Connecticut
1518584432- Practice location
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone
- 860-694-4123
- Fax
- —
- Last updated
- July 16, 2025
Justin Charles Gunn is a General Practice based in Groton, CT. Justin Charles Gunn practices in Groton, CT and has the professional credentials of MD. The NPI Number for Justin Charles Gunn is 1518584432 and holds a License No. 0101276154 (VA). The current practice location address for Justin Charles Gunn is 1 Wahoo Ave, Groton, CT 06349-2324 and can be reached out via phone at 860-694-4123.
Provider Profile Details
- NPI Number
- 1518584432
- Provider Name
- Justin Charles Gunn
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Wahoo Ave, Groton, CT 06349-2324
- Phone Number
- 860-694-4123
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2020
- Last Update Date
- July 16, 2025
- Certification Date
- July 16, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Wahoo Ave
Groton, CT 06349-2324 - City
- Groton
- State
- Connecticut
- Zip
- 06349-2324
- Phone Number
- 860-694-4123
Provider Business Mailing Address Details
- Address
- 8955 Wood Road
Building 1, 19TH Floor, Room 19121
Bethesda, MD 20889-5628 - City
- Bethesda
- State
- MD
- Zip
- 20889-5628
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 0101276154
- License State (2)
- VA
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Justin C Gunn, MD?
The NPI number of Dr. Justin C Gunn, MD is 1518584432. It was assigned on June 26, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Justin C Gunn, MD?
Dr. Justin C Gunn, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in VA under license number 0101276154.
Where does Dr. Justin C Gunn, MD practice?
The practice location is 1 Wahoo Ave, Groton, CT 06349-2324. The office can be reached at 860-694-4123 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518584432 directly on the NPPES registry website.