Individual
DR. JOHN P. GUSDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
640 S STATE ST, DOVER, DE 19901-3530
(302) 744-6156
(302) 735-3845
Mailing address
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901-3530
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
187669
NY
207P00000X
Emergency Medicine Physician
29580
NC
207P00000X
Emergency Medicine Physician
Primary
C1-0013100
DE
207Q00000X
Family Medicine Physician
266581
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8937940
—
NC
Enumeration date
12/08/2006
Last updated
06/04/2019
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