Provider Demographics
NPI:1588797989
Name:GULLETH, YUSUF M (MD)
Entity Type:Individual
Prefix:
First Name:YUSUF
Middle Name:M
Last Name:GULLETH
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Gender:M
Credentials:MD
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Mailing Address - Street 1:736 CAMBRIDGE ST
Mailing Address - Street 2:SMC 8
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135
Mailing Address - Country:US
Mailing Address - Phone:617-789-5004
Mailing Address - Fax:617-789-5088
Practice Address - Street 1:736 CAMBRIDGE STREET
Practice Address - Street 2:SMC 8
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135
Practice Address - Country:US
Practice Address - Phone:617-789-5004
Practice Address - Fax:617-789-5088
Is Sole Proprietor?:No
Enumeration Date:2007-03-14
Last Update Date:2017-09-06
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Provider Licenses
StateLicense IDTaxonomies
MA243625207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology