Individual
JEFFREY GUSENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 FOGG RD, SOUTH WEYMOUTH, MA 02190-2432
(781) 340-8000
Mailing address
PO BOX 200694, PITTSBURGH, PA 15251-0694
(833) 324-6904
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A134625
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
266863
MA
2085R0204X
Vascular & Interventional Radiology Physician
A134625
CA
Other
Enumeration date
06/22/2010
Last updated
05/19/2025
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