Individual provider · NPI-1

Gustavo Bauza, MD

Surgery, Surgical Critical Care · New Brunswick, NJ

NPI number1043479595
StatusActive
Last updated in NPPESMay 30, 2026

Details

NPI
1043479595
Entity type
Individual (NPI-1)
Name
Gustavo Bauza
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 9, 2008
Certification date
May 30, 2026
Last updated
May 30, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0102X Surgery, Surgical Critical Care249589MAYes
208600000X Surgery25MA09862800NJ
2086S0102X Surgery, Surgical Critical Care25MA09862800NJ
208600000X Surgery249589MA

Practice location

125 Paterson Street Suite 6300
Robert Wood Johnson Medical School Division Of Acs
New Brunswick, NJ 08901

Phone 732-235-7766

Mailing address

1 Richmond St
Apt 4106
New Brunswick, NJ 08901-4100

Phone 787-948-8262

Other practice locations

75 Francis St
Boston, MA 02115-6106

Phone 617-732-5500

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