Gugino, Laverne D

Gugino, Laverne D is an individual health care provider with primary practice located at 119 Summit Ave , Winthrop MA 02152. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Clinical Neurophysiology is his primary health care specialty. Gugino, Laverne D can be contacted via phone (617) 418-0478.

Contact Information

Primary practice address
119 Summit Ave Winthrop MA 02152
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 46992 Massachusetts
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 46992 Massachusetts

Profile Details

NPI number 1760465942
LBN Legal business name Gugino, Laverne D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 20th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760465942 NPPES
Massachusetts MEDICAID 6166253
Massachusetts MEDICAID 6165362
Massachusetts Other J01021
Massachusetts MEDICAID LG58278

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