National Provider Identifier Database

LAVERNE D GUGINO, MD – NPI #1760465942
Clinical Neurophysiology

Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).


Contact Information

LAVERNE D GUGINO, MD
119 SUMMIT AVE
WINTHROP, MA02152
Phone: 617-418-0478
Fax:
Website:
Specialty Taxonomy Code
* Clinical Neurophysiology 2084N0600X
Anesthesiology 207L00000X

* Indicates primary specialty

NPI Profile & details for LAVERNE D GUGINO

NPI Number 1760465942
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 12/20/2018 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MA License #: 46992
  • MA Medicaid: 6165362
  • MA Medicaid: 6166253
  • RI Medicaid: LG58278
  • MA Other: J01021 BLUE CROSS BLUE SHIELD
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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