Gustavson, Andrew

Gustavson, Andrew is an individual health care provider with primary practice located at 183 South Orange Avenue Floor D, Newark NJ 07103. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Gustavson, Andrew can be contacted via phone (973) 972-5479.

Contact Information

Primary practice address
183 South Orange Avenue Floor D Newark NJ 07103
Phone: (973) 972-5479
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1053826560
LBN Legal business name Gustavson, Andrew
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2017
Last updated Dec 6th, 2017 - about 7 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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