Nicholas John Gust, PA-C
Physician Assistant, Medical in Pittsburgh, PA. Individual provider (NPI-1).
NPI number1336744101
StatusActive
Last updated in NPPESDec 1, 2020
Details
- NPI
- 1336744101
- Entity type
- Individual (NPI-1)
- Name
- Nicholas John Gust
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2020
- Certification date
- Nov 27, 2020
- Last updated
- Dec 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | MA061957 | PA | Yes |
Practice location
320 Guys Run RdPittsburgh, PA 15238-1375
Phone 412-828-1300
Mailing address
4840 Harrison St Apt 209Pittsburgh, PA 15201-2749
Phone 724-612-2896
Other practice locations
351 Camp Meeting Road
Sewickley, PA 15143
Sewickley, PA 15143
Phone 412-741-9500
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