Oleg Gusakov MD

NPI 1114192556 - Anesthesiology - 207L00000X

NPI Details
NPI 1114192556
Gender Male
Enumeration Date 04/28/2008
Last Updated 03/15/2010
Entity Type Individual
Active Over 8 years ago
Practice Location
690 CANTON ST
SUITE 325
WESTWOOD MA, 02090, US
Phone (781) 407-7713
Fax (781) 407-0998
Business Location
690 CANTON ST
SUITE 325
WESTWOOD MA, 02090, US
Phone (781) 407-7713
Fax (781) 407-0998
Toxanomy
Taxonomy Code 207L00000X
License State Massachusetts
License Number 229754
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According to our database, Oleg Gusakov MD NPI is 1114192556, taxonomy code is 207L00000X and license number is 229754, license state is located at Massachusetts. Oleg Gusakov MD physically located at 690 Canton St, Westwood MA, 02090. NPI Number Oleg Gusakov MD has the Individual type.

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1114192556 NPI number is provided on an as is basis without warranty of any kind. 1114192556 is maintained by the National Plan & Provider Enumeration System. The contents of Oleg Gusakov MD are for informational purposes only.