# THOMAS GUSTAFERRO MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DRS. JUHANT AND GUSTAFERRO
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326175027
- **Authorized official:** DR. THOMAS JAMES GUSTAFERRO M.D. (PRESIDENT/PHYSICIAN)
- **Authorized official phone:** (440) 498-9791

## Contact information

- **Practice address:** 12000 MCCRACKEN RD, STE 101, GARFIELD HEIGHTS, OH 44125-2964
- **Practice address phone:** (216) 662-2200
- **Practice address fax:** (216) 662-6282
- **Mailing address:** 12000 MCCRACKEN RD, STE 101, GARFIELD HEIGHTS, OH 44125-2964
- **Mailing address phone:** (216) 662-2200
- **Mailing address fax:** (216) 662-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 08/12/2013