Organization
PAUL L GUNDERSON, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R BRUSIE M.D. (OWNER)
(978) 772-4000
Entity
Organization
Contact information
Practice address
190 GROTON RD, SUITE 240, AYER, MA 01432-1124
(978) 772-4000
(978) 772-6033
Mailing address
190 GROTON RD, SUITE 240, AYER, MA 01432-1124
(978) 772-4000
(978) 772-6033
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
210292
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0171671
—
MA
Enumeration date
06/12/2007
Last updated
04/17/2008
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