Individual
DR. WAYNE A GAVRYCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 BURNHAM ST, TURNERS FALLS, MA 01376-1816
(413) 774-5554
(413) 775-9137
Mailing address
8 BURNHAM ST, TURNERS FALLS, MA 01376-1816
(413) 774-5554
(413) 775-9137
Taxonomy
Speciality
Code
Description
License number
State
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
MA47621
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0138487
—
MA
Enumeration date
10/19/2005
Last updated
09/15/2010
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