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NPI Code Detail

MEDICARE: BARRY E GUSTIN M.D.

MEDICARE:   BARRY E GUSTIN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianG52596CA
2207P00000XEmergency Medicine PhysicianME152035FL

General Provider Information

NPI Number : 1538182340
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARRY E GUSTIN M.D.
Provider Business Mailing Address
First Line : 3070 KIRK ST
Second Line :
City : MIAMI
State : FL
Zip : 33133-3970
Country : US
Telephone Number : 510-719-8300
Fax Number :
Provider Business Practice Location Address
First Line : 3070 KIRK ST
Second Line :
City : MIAMI
State : FL
Zip : 33133-3970
Country : US
Telephone Number : 510-719-8300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 01/18/2024

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Directions to “ BARRY E GUSTIN M.D.” Practice Location

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