DR. PAUL GUSTAFSON MD
NPI 1811972797
Pediatrics in Dorchester, MA

Active since December 13, 2005
398 NEPONSET AVE, DORCHESTER, MA 02122(617) 282-3200(617) 282-8201 Get Directions Write a Review

NPPES record last updated: February 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Paul Gustafson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL GUSTAFSON MD (NPI 1811972797) is an individual pediatrics provider in Dorchester, Massachusetts, licensed in Massachusetts (41092) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1811972797
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PAUL GUSTAFSONCredential: MD
Location Address398 NEPONSET AVEDorchester, MA 02122-3134
Mailing Address1135 Morton StMattapan, MA 02126-2834 · (617) 533-2300 · Fax (617) 282-8201
Fax(617) 282-8201
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateFebruary 4, 2013
NPI 1811972797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MA · 41092
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
398 NEPONSET AVE, Dorchester, MA 02122

Other Identifiers 3

Medicare UPIND88245MA
Medicaid2052792MA
Medicare ID-Type UnspecifiedE05138MA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Ambulatory Care)
398 NEPONSET AVE
DORCHESTER, MA 02122
Registered Nurse
398 NEPONSET AVE
DORCHESTER, MA 02122
Pharmacist
398 NEPONSET AVE
DORCHESTER, MA 02122
Licensed Practical Nurse
398 NEPONSET AVE
DORCHESTER, MA 02122
Registered Nurse (Community Health)
398 NEPONSET AVE
DORCHESTER, MA 02122
Nurse Practitioner
398 NEPONSET AVE
DORCHESTER, MA 02122
Nurse Practitioner (Women's Health)
398 NEPONSET AVE
DORCHESTER, MA 02122
Specialist
398 NEPONSET AVE
DORCHESTER, MA 02122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Gustafson's NPI number?

The NPI number for Paul Gustafson is 1811972797. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Paul Gustafson located?

Paul Gustafson practices at 398 Neponset Ave, Dorchester, MA 02122. The listed phone number is (617) 282-3200.

What is Paul Gustafson's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Paul Gustafson was last updated on February 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.