Individual
CRAIG S. GUSTAFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
233 AYER RD, HARVARD, MA 01451-1131
(978) 772-0698
(978) 772-0024
Mailing address
233 AYER RD, HARVARD, MA 01451-1131
(978) 772-0698
(978) 772-0024
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
153873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3190994
—
MA
Enumeration date
12/21/2005
Last updated
09/21/2023
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