Active NPIIndividual provider

Mr. Gerald A Dahlstrom, PA-C

Physician Assistant in Sutton, Massachusetts

NPI Number1639144843
Practice location
178 Putnam Hill RD, Sutton, MA 01590-1117
Fax
—
Last updated
November 15, 2021

Gerald A Dahlstrom is a Physician Assistant based in Sutton, MA. Gerald A Dahlstrom practices in Sutton, MA and has the professional credentials of PA-C. The NPI Number for Gerald A Dahlstrom is 1639144843 and holds a License No. PA32 (MA). The current practice location address for Gerald A Dahlstrom is 178 Putnam Hill RD, Sutton, MA 01590-1117 and can be reached out via phone at 508-865-6217.

Provider Profile Details

NPI Number
1639144843
Provider Name
Gerald A Dahlstrom
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
178 Putnam Hill RD, Sutton, MA 01590-1117
Phone Number
508-865-6217
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
February 21, 2006
Last Update Date
November 15, 2021
Certification Date
November 15, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
178 Putnam Hill RD
Sutton, MA 01590-1117
City
Sutton
Zip
01590-1117
Phone Number
508-865-6217
Sutton, MA 01590Get directions →

Provider Business Mailing Address Details

Address
178 Putnam Hill RD
Sutton, MA 01590-1117
City
Sutton
State
MA
Zip
01590-1117
Phone Number
508-865-6217

License Information

License Number (1)
PA32
License State (1)
MA
Taxonomy (1)
Physician Assistant, Medical · 363AM0700X
License Number (2)
32
License State (2)
MA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mr. Gerald A Dahlstrom, PA-C?

The NPI number of Mr. Gerald A Dahlstrom, PA-C is 1639144843. It was assigned on February 21, 2006 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerald A Dahlstrom, PA-C?

Mr. Gerald A Dahlstrom, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number PA32.

Where does Mr. Gerald A Dahlstrom, PA-C practice?

The practice location is 178 Putnam Hill RD, Sutton, MA 01590-1117. The office can be reached at 508-865-6217 (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 1639144843 directly on the NPPES registry website.

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