National Provider Identifier
Thomas R. Gustafson, MD
Thomas R. Gustafson, MD is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Pine City, NY and a listed phone number of (607) 734-3929.
Source: public NPPES record, last updated July 29, 2011. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1720055528
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- March 01, 2006
- Last Updated
- July 29, 2011
Practice Location
- 1243 Pennsylvania Ave
- Pine City, NY 14871-9230
Phone: (607) 734-3929
Mailing Address
- 1 Guthrie Sq
- Sayre, PA 18840-1625
Specialties
- Family Medicine Physician (207Q00000X)
- Family Medicine Physician (207Q00000X)
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Biography
Thomas Gustafson, MD, is a family medicine physician in Pine City, New York. Public professional listings place him with Guthrie Medical Group at the Pennsylvania Avenue primary care office, and note that he earned his medical degree from Jefferson Medical College in 1988. The public record available online is limited, but it consistently describes him as a community-based primary care doctor serving the Pine City area. (healthcare4ppl.com)
Full Record
- NPI
- 1720055528
- Entity Type
- Individual
- Last Name
- Gustafson
- First Name
- Thomas
- Middle Name
- R.
- Name Prefix
- Dr.
- Credential
- MD
- Mailing Street Address
- 1 Guthrie Sq
- Mailing City
- Sayre
- Mailing State
- PA
- Mailing ZIP Code
- 18840-1625
- Mailing Country
- US
- Mailing Phone
- (570) 888-5858
- Practice Street Address
- 1243 Pennsylvania Ave
- Practice City
- Pine City
- Practice State
- NY
- Practice ZIP Code
- 14871-9230
- Practice Country
- US
- Practice Phone
- (607) 734-3929
- Practice Fax
- (607) 734-0781
- Enumeration Date
- March 01, 2006
- Last Updated
- July 29, 2011
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Family Medicine Physician (207Q00000X)
- Other Identifiers
- 0012479510001 (PA), 01255774 (NY), 080173355 (NY, Rr Medicare Pin), CC8362 (NY, Rr Medicare Group)