Individual
LISA S GUSSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26 QUEEN ST, FAMILY PRACTICE 1, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7929
Mailing address
26 QUEEN ST, FAMILY PRACTICE 1, WORCESTER, MA 01610-2473
(508) 860-7700
(508) 860-7929
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
155167
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0109061
—
MA
Enumeration date
11/25/2005
Last updated
10/24/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us