Individual
PAUL L. GUNDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-4000
(978) 772-3066
Mailing address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-4000
(978) 772-3066
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33474
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039141
—
MA
05
—
99904033
—
NH
Enumeration date
07/20/2006
Last updated
06/09/2008
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