Dr. Paul Gustafson, MD
Pediatrics in Dorchester, Massachusetts
1811972797- Practice location
- 398 Neponset Ave, Dorchester, MA 02122-3134
- Phone
- 617-282-3200
- Fax
- 617-282-8201
- Last updated
- February 4, 2013
Paul Gustafson is a Pediatrics based in Dorchester, MA. Paul Gustafson practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Paul Gustafson is 1811972797 and holds a License No. 41092 (MA). The current practice location address for Paul Gustafson is 398 Neponset Ave, Dorchester, MA 02122-3134 and can be reached out via phone at 617-282-3200 and via fax at 617-282-8201.
Provider Profile Details
- NPI Number
- 1811972797
- Provider Name
- Paul Gustafson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 398 Neponset Ave, Dorchester, MA 02122-3134
- Phone Number
- 617-282-3200
- Fax Number
- 617-282-8201
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 13, 2005
- Last Update Date
- February 4, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 398 Neponset Ave
Dorchester, MA 02122-3134 - City
- Dorchester
- State
- Massachusetts
- Zip
- 02122-3134
- Phone Number
- 617-282-3200
- Fax Number
- 617-282-8201
Provider Business Mailing Address Details
- Address
- 1135 Morton St
Mattapan, MA 02126-2834 - City
- Mattapan
- State
- MA
- Zip
- 02126-2834
- Phone Number
- 617-533-2300
- Fax Number
- 617-282-8201
License Information
- License Number
- 41092
- License State
- MA
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pediatrics providers near Dorchester, MA
View all Pediatrics providers in Dorchester →Frequently Asked Questions
What is the NPI number of Dr. Paul Gustafson, MD?
The NPI number of Dr. Paul Gustafson, MD is 1811972797. It was assigned on December 13, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Paul Gustafson, MD?
Dr. Paul Gustafson, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in MA under license number 41092.
Where does Dr. Paul Gustafson, MD practice?
The practice location is 398 Neponset Ave, Dorchester, MA 02122-3134. The office can be reached at 617-282-3200 (phone) or 617-282-8201 (fax).
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 1811972797 directly on the NPPES registry website.