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Individual

MS. CYNTHIA GUSTAFSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3705
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0336742
MA
01
6400066
UNITED HEALTHCARE
MA
01
705278
TUFTS HEALTH PLAN
MA
01
Y65881
BLUE CROSS
MA
Enumeration date
08/18/2005
Last updated
07/09/2007
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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