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Contact Information

CARA GUSTAFSON, ATC
120 VASSAR ST
CAMBRIDGE, MA02139
 Phone: 617-253-4908
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for CARA GUSTAFSON · (Female)

NPI # 1811276397
Status Active
Credentials ATC
Entity Individual
Enumeration date 08/15/2011
Last updated 08/15/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 2241
Hospital affiliation(s) Not Available
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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