Individual
THOMAS JAMES GUSTAFERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17747 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4739
(440) 543-2200
(440) 543-2290
Mailing address
17747 CHILLICOTHE RD, CHAGRIN FALLS, OH 44023-4739
(440) 543-2200
(440) 543-2290
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35064899
OH
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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