Individual
JOSEPH PATRICK GUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4100
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-4100
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2299603
MA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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