Individual
MS. TARA MARIE RUKSTALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
110 FRANCIS ST STE 3B, BOSTON, MA 02215-5501
(617) 632-7246
(617) 632-0949
Mailing address
110 FRANCIS ST STE 3B, BOSTON, MA 02215-5501
(617) 632-7246
(617) 632-7599
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
826
MA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN2259257
MA
Other
Enumeration date
05/19/2009
Last updated
11/17/2021
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