IndividualActive
Blake Gustafson, MD
NPI 1467654442 · Emergency Medicine Physician · Newark, DE
Provider details
- NPI number
- 1467654442
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- C1-0009550 (DE)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
4755 Ogletown Stanton Rd
Department of Emergency Medicine
Newark, DE 19718-2200
Phone: (302) 733-1840
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 7529
Newark, DE 19714-7529
Registry dates
- Enumerated
- 2007-06-01
- Last updated
- 2013-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.