Individual
DR. STEFANIE GAUGUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2164
(774) 443-2062
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
231441
MA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
231441
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085638A
—
MA
Enumeration date
06/06/2008
Last updated
01/02/2026
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