Provider Demographics
NPI:1508879768
Name:GUSHARD, ROBERT HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:HOWARD
Last Name:GUSHARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:500 FRANKLIN VILLAGE DR
Mailing Address - Street 2:STE 103
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038
Mailing Address - Country:US
Mailing Address - Phone:508-520-0577
Mailing Address - Fax:508-520-0565
Practice Address - Street 1:500 FRANKLIN VILLAGE DR
Practice Address - Street 2:STE 103
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-4017
Practice Address - Country:US
Practice Address - Phone:508-520-0577
Practice Address - Fax:508-520-0565
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA57618207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
13130OtherFALLON
15871OtherHARVARD
MA3017613Medicaid
J06103OtherBCBS
15871OtherHARVARD