Organization
DR CRAIG S GUSTAFSON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG GUSTAFSON MD (OWNER)
(978) 772-0698
Entity
Organization
Contact information
Practice address
190 GROTON RD, AYER, MA 01432-1124
(978) 772-0698
(978) 772-0024
Mailing address
233 AYER RD, STE 10, HARVARD, MA 01451-1131
(978) 772-0698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
153873
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9740091
—
MA
Enumeration date
03/13/2007
Last updated
02/10/2026
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