Maegawa, Gustavo Henrique Boff
Maegawa, Gustavo Henrique Boff is an sole proprietor health care provider with primary practice located at 3959 Broadway # Ch-7N , New York NY 10032-1559. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics. Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics is his primary health care specialty. Maegawa, Gustavo Henrique Boff can be contacted via phone (212) 305-3627.Contact Information
Primary practice address
3959 Broadway # Ch-7N
New York NY 10032-1559
Phone: (212) 305-3627
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | D69890 | Maryland |
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | ME125350 | Florida |
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | D69890 | Maryland |
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | ME125350 | Florida |
| Allopathic & Osteopathic Physicians / Clinical Biochemical Genetics | 207SG0202X | 314126 | New York |
Profile Details
| NPI number | 1366671380 |
|---|---|
| LBN Legal business name | Maegawa, Gustavo Henrique Boff |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 12th, 2009 |
| Last updated | Jul 12th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366671380 | NPPES |
| Florida | MEDICAID | 015796200 | |
| Florida | MEDICAID | 419002500 |
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