Individual
DR. GEOFFREY PETER GUSTAVSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
282 THE GRN, NEWARK, DE 19716-0009
(302) 831-2227
(302) 831-6407
Mailing address
282 THE GRN, NEWARK, DE 19716-0009
(302) 831-2227
(302) 831-6407
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
C10007058
DE
Other
Enumeration date
01/25/2006
Last updated
01/26/2016
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