Gustafson, Alison

Gustafson, Alison is an individual health care provider with primary practice located at 163 Libbey Industrial Pkwy Suite 301, Weymouth MA 02189-3137. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Gustafson, Alison can be contacted via phone (781) 337-4224.

Contact Information

Primary practice address
163 Libbey Industrial Pkwy Suite 301 Weymouth MA 02189-3137
Phone: (781) 337-4224
Fax: (781) 335-0429
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 79096 Massachusetts

Profile Details

NPI number 1619991650
LBN Legal business name Gustafson, Alison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated May 2nd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619991650 NPPES
Massachusetts Other 050081378 PALMETTO GBA
Massachusetts Other G27847 PALMETTO GBA
Massachusetts MEDICAID 3153941 PALMETTO GBA
Massachusetts Other J16671 PALMETTO GBA
Massachusetts Other 274375 PALMETTO GBA
Massachusetts Other 079096 PALMETTO GBA
Massachusetts Other 3153941 PALMETTO GBA
Massachusetts Other 53080 PALMETTO GBA

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