Thomas R. Gustafson in Pine City - Family Medicine
Thomas R. Gustafson - NPI 1720055528
Thomas R. Gustafson is a Family Medicine in Pine City, New York. Thomas R. Gustafson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Thomas R. Gustafson is 1720055528. The last update date is 2011-07-29.
Thomas R. Gustafson's current location address is 1243 Pennsylvania Ave, Pine City, New York. You can contact this provider via phone number 6077343929 and fax number 6077340781. The mailing address for Thomas R. Gustafson is 1243 Pennsylvania Ave, Pine City, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas R. Gustafson |
|---|---|
| Address | 1243 Pennsylvania Ave, Pine City, New York |
| Phone Number | 6077343929 |
| Fax Number | 6077340781 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1720055528 |
|---|---|
| Provider Enumeration Date | 2006-03-01 |
| Last Updated Date | 2011-07-29 |
Provider Mailing Address Detail
| Address | 1243 Pennsylvania Ave |
|---|---|
| City | Pine City |
| State | New York (NY) |
| Post Code | 148719230 |
| Phone Number | 6077343929 |
| Fax Number | 6077340781 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD042588L |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 12479510001 | PA | -- | |
| 1255774 | NY | -- | |
| 80173355 | NY | RR MEDICARE PIN | |
| CC8362 | NY | RR MEDICARE GROUP |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Thomas R. Gustafson by the Centers for Medicare & Medicaid Services?
The Thomas R. Gustafson has been assigned the NPI (National Provider Identifier) 1720055528 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Thomas R. Gustafson is physically located?
The Thomas R. Gustafson is situated at the following address: 1243 Pennsylvania Ave, Pine City, NY 148719230.
What is the area of specialization for Thomas R. Gustafson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Thomas R. Gustafson is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1720055528 to Thomas R. Gustafson?
The Centers for Medicare & Medicaid Services originally issued the 1720055528 to Thomas R. Gustafson on 2006-03-01.
When was the information related to Thomas R. Gustafson most recently updated or refreshed?
The details pertaining to the Thomas R. Gustafson, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-07-29.