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NPI Code Detail

MEDICARE: DR CRAIG S GUSTAFSON LLC

MEDICARE: DR CRAIG S GUSTAFSON LLC
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
1207Q00000XFamily Medicine Physician153873MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982737946
Entity Type Code : Organization
Provider Name (Legal Business Name) : DR CRAIG S GUSTAFSON LLC
Provider Business Mailing Address
First Line : 233 AYER RD
Second Line : STE 10
City : HARVARD
State : MA
Zip : 01451-1131
Country : US
Telephone Number : 978-772-0698
Fax Number :
Provider Business Practice Location Address
First Line : 233 AYER RD
Second Line : STE 10
City : HARVARD
State : MA
Zip : 01451-1131
Country : US
Telephone Number : 978-772-0698
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CRAIG GUSTAFSON
Credential : MD
Telephone Number : 978-772-0698
Provider Enumeration Date : 03/13/2007
Last Update Date : 09/21/2023

Similar Medicare Providers

1780660845 — CRAIG S. GUSTAFSON M.D.
Practice Location Address:
233 AYER RD
HARVARD, MA
01451-1131
Practice Phone: 978-772-0698
Practice Fax: 978-772-0024
1730295452 — BARBARA N KIRWOOD LICSW
Practice Location Address:
233 AYER RD , SHAKER PLACE, SUITE 2
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1447368691 — SUZANNE LUCAS RNCS
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HARVARD, MA
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Practice Fax:
1588737639 — REBEKAH A DONELAN RD
Practice Location Address:
233 AYER RD , SUITE 5B
HARVARD, MA
01451-1131
Practice Phone: 978-273-9524
Practice Fax:
1619166303 — MS. DEBRA HOLLOWAY M.A., LMHC
Practice Location Address:
233 AYER RD
HARVARD, MA
01451-1131
Practice Phone: 978-772-3070
Practice Fax:
1043472459 — CAROL S.SAVAGE MD
Practice Location Address:
233 AYER RD
HARVARD, MA
01451-1131
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Practice Fax:

Directions to “DR CRAIG S GUSTAFSON LLC ” Practice Location

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