Individual
DR. GUSTAVO HENRIQUE BOFF MAEGAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
3959 BROADWAY # CH-7N, NEW YORK, NY 10032-1559
(212) 305-3627
Mailing address
3959 BROADWAY, CH-7N - 718 (GENETICS), COLUMBIA UNIVERSITY MORGANSTANLEY CHILDREN'S HOSPITAL, NEW YORK, NY 10032-0296
(212) 342-3647
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
D69890
MD
207SG0201X
Clinical Genetics (M.D.) Physician
ME125350
FL
207SG0202X
Clinical Biochemical Genetics Physician
Primary
314126
NY
207SG0202X
Clinical Biochemical Genetics Physician
D69890
MD
207SG0202X
Clinical Biochemical Genetics Physician
ME125350
FL
207SG0207X
Medical Biochemical Genetics
314126
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015796200
—
FL
05
—
419002500
—
MD
Enumeration date
07/12/2009
Last updated
07/12/2024
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