Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 275406 | MA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 275406 | MA |
NPI | 1063773711 |
---|---|
Provider Name | Dr. Michael S Guss |
First Address | Newton, MA 02462-1602 |
Second Address | Newton, MA 02462-1602 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2012 |
Last Update Date | 09/10/2018 |