Search › Connecticut › 363LA2100X
Gregory Gustavson, APRN
NPI 1770418030 · on the registry since 2026
Practice
- Address
- 112 Mansfield Ave
Willimantic, CT 06226 - Phone
- (860) 456-9116
- Organisation at this address
- Prenatal Clinic
Pathology Associates Of Windham Pc
Windham Community Memorial Hospital
Windham Community Memorial Hospital
Windham Family Medical Services, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 51
Additional practice sites
- 100 Grand St, New Britain, CT
- 326 Washington St, Norwich, CT
- 435 Lewis Ave, Meriden, CT
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Also registered as
- 2085R0204X
363LG0600X - Licence states on file
- CT
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut