Individual
GUS DARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1304 COMMONWEALTH AVE, ALLSTON, MA 02134-3747
(617) 504-1284
Mailing address
580 COMMONWEALTH AVE UNIT 620, BOSTON, MA 02215-2503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/05/2025
Last updated
03/05/2025
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