Doctor Name: | DR. WAYNE A GAVRYCK |
NPI Number: | 1780673970 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MA47621 |
Business Practice Address: | 8 Burnham St Turners Falls, MA - 013761816 |
Business Phone Number: | 4137745554 |
Business Fax Number: | 4137759137 |
Mailing Address: | 8 Burnham St, TURNERS FALLS |
State: | MA |
Postal Code: | 013761816 |
Phone Number: | 4137745554 |
Fax Number: | 4137759137 |
NPI Enumeration Date: | 10/19/2005 |
NPI Last Update Date: | 09/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RA0401X |
License Number: | MA47621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Addiction Medicine |
Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |