Provider Demographics
NPI:1134259583
Name:SHARON G GUNASTI MD INC
Entity type:Organization
Organization Name:SHARON G GUNASTI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNASTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:401-333-1502
Mailing Address - Street 1:2 WAKE ROBIN RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LINCOLN
Mailing Address - State:RI
Mailing Address - Zip Code:02865-4241
Mailing Address - Country:US
Mailing Address - Phone:401-333-1502
Mailing Address - Fax:401-333-3680
Practice Address - Street 1:2 WAKE ROBIN RD
Practice Address - Street 2:SUITE 207
Practice Address - City:LINCOLN
Practice Address - State:RI
Practice Address - Zip Code:02865-4241
Practice Address - Country:US
Practice Address - Phone:401-333-1502
Practice Address - Fax:401-333-3680
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty