Oleg Gusakov, MD
Anesthesiology in New Brunswick, NJ. Individual provider (NPI-1).
NPI number1114192556
StatusActive
Last updated in NPPESJul 23, 2021
Details
- NPI
- 1114192556
- Entity type
- Individual (NPI-1)
- Name
- Oleg Gusakov
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2008
- Certification date
- Jul 23, 2021
- Last updated
- Jul 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | 25MA10467000 | NJ | Yes |
| 207L00000X | Anesthesiology | 239565 | MA | |
| 207L00000X | Anesthesiology | 229754 | MA |
Practice location
1 Robert Wood Johnson PlNew Brunswick, NJ 08901-1928
Phone 732-828-3000
Mailing address
Po Box 829642Philadelphia, PA 19182-9642
Phone 866-470-6626
Other practice locations
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