Carl a Gustafson, O.d.

NPI #1902120470 in Weymouth, Massachusetts

Provider Information

NPI Number: 1902120470
Entity Type: Organization
Organization Name: Carl a Gustafson, O.d.
Primary Specialty: Optometrist
Enumeration Date: Mar 26, 2010
Last Updated: Mar 26, 2010

Practice Location

Address: 649 BROAD ST
City: Weymouth
State: Massachusetts
ZIP Code: 02189-2041
Phone: (781) 335-1166

Authorized Official

Name: CARL GUSTAFSON
Title: OWNER
Phone: (781) 335-1166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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