Gusack, Mark David

Gusack, Mark David is an individual health care provider with primary practice located at 1 Center St , Augusta ME 04330-6410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Gusack, Mark David can be contacted via phone (207) 623-8411.

Contact Information

Primary practice address
1 Center St Augusta ME 04330-6410
Phone: (207) 623-8411
Fax: (207) 621-7314
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 016135 Maine
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 162605 New York

Profile Details

NPI number 1912948050
LBN Legal business name Gusack, Mark David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Jul 8th, 2007 - about 17 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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