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Individual

GERTRUD M RASTALSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
736 CAMBRIDGE ST, CCP 9, BRIGHTON, MA 02135-2907
(617) 787-5111
(617) 787-5150
Mailing address
736 CAMBRIDGE ST, CCP 9, BRIGHTON, MA 02135-2907
(617) 787-5111
(617) 787-5150

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
235293
MA
207R00000X
Internal Medicine Physician
235293
MA
207RR0500X
Rheumatology Physician
Primary
235293
MA

Other

Enumeration date
05/13/2008
Last updated
01/14/2016
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