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Contact Information

LAVERNE D GUGINO, MD
119 SUMMIT AVE
WINTHROP, MA02152
 Phone: 617-418-0478
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for LAVERNE D GUGINO · (Male)

NPI # 1760465942
Status Active
Credentials MD
Entity Individual
Enumeration date 11/22/2005
Last updated 12/20/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 46992
  • MA Medicaid 6165362
  • MA Medicaid 6166253
  • RI Medicaid LG58278
  • MA Other J01021 BLUE CROSS BLUE SHIELD
Hospital affiliation(s)
  • DELRAY MEDICAL CENTER - (Acute Care)
    5352 LINTON BLVD
    DELRAY BEACH, FL 33484
  • GEORGE WASHINGTON UNIV HOSPITAL - (Acute Care)
    900 23RD ST NW
    WASHINGTON, DC 20037
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
  • SHORE MEDICAL CENTER - (Acute Care)
    100 MEDICAL CENTER WAY
    SOMERS POINT, NJ 08244
  • ST MARY'S MEDICAL CENTER - (Acute Care)
    901 45TH ST
    WEST PALM BEACH, FL 33407
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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