Individual
DR. PETER B GUSMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 YADKIN ST, ALBEMARLE, NC 28001-3441
(704) 984-4385
Mailing address
PO BOX 2060, ALBEMARLE, NC 28002-2060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9501265
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1016H
BCBS OF NORTH CAROLINA
NC
01
—
300116234
RAILROAD MEDICARE
—
05
—
893794K
—
NC
Enumeration date
06/17/2005
Last updated
03/30/2015
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