Gertrud M Rastalsky M.D.

NPI 1366619025 - Internal Medicine - 207R00000X

NPI Details
NPI 1366619025
Gender Female
Enumeration Date 05/13/2008
Last Updated 01/14/2016
Entity Type Individual
Active Over 8 years ago
Practice Location
736 CAMBRIDGE ST
CCP 9
BRIGHTON MA, 02135-2907, US
Phone (617) 787-5111
Fax (617) 787-5150
Business Location
736 CAMBRIDGE ST
CCP 9
BRIGHTON MA, 02135-2907, US
Phone (617) 787-5111
Fax (617) 643-1274
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 235293
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According to our database, Gertrud M Rastalsky M.D. NPI is 1366619025, taxonomy code is 207R00000X and license number is 235293, license state is located at Massachusetts. Gertrud M Rastalsky M.D. physically located at 736 Cambridge St, Brighton MA, 02135-2907. NPI Number Gertrud M Rastalsky M.D. has the Individual type.

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1366619025 NPI number is provided on an as is basis without warranty of any kind. 1366619025 is maintained by the National Plan & Provider Enumeration System. The contents of Gertrud M Rastalsky M.D. are for informational purposes only.