Gusakov, Oleg

Gusakov, Oleg is an sole proprietor health care provider with primary practice located at 1 Robert Wood Johnson Pl , New Brunswick NJ 08901-1928. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Gusakov, Oleg can be contacted via phone (732) 828-3000.

Contact Information

Primary practice address
1 Robert Wood Johnson Pl New Brunswick NJ 08901-1928
Phone: (732) 828-3000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 239565 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 229754 Massachusetts
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 25MA10467000 New Jersey

Profile Details

NPI number 1114192556
LBN Legal business name Gusakov, Oleg
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2008
Last updated Jul 23rd, 2021 - about 3 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 1114192556 NPPES
Massachusetts MEDICAID 110082461A

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