Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. THOMAS R. GUSTAFSON, MD
ActiveDR. THOMAS R. GUSTAFSON, MD is a Family Medicine healthcare provider located in PINE CITY, New York. NPI 1720055528 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · PINE CITY, NY
Registration Details
- NPI Number
- 1720055528
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 1, 2006 (20.469890463993 yrs)
- Last Updated
- Jul 29, 2011
- Licenses
-
MD042588L (PA)186217-1 (NY)
Practice Information
- Address
-
1243 PENNSYLVANIA AVEPINE CITY, NY, 148719230Browse NY providers · Browse ZIP 14871
- Phone
- 6077343929
- Fax
- 6077340781
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in PINE CITY, NY
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM RIDGE MCCLINTIC | D.O. | 1285605766 |
| ROBERT W. ARMSTRONG | MD | 1679545651 |
| DR. LESLIE SCOTT RACHLIN | MD | 1588630305 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.