Individual
ROSARIO KARL GUASTELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
778 SCOGIN DR, MONTICELLO, AR 71655-5729
(870) 367-2411
Mailing address
233 BELLE POINTE, MADISON, MS 39110-8289
(330) 348-3097
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
E-16197
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298093001
—
AR
Enumeration date
03/26/2021
Last updated
10/12/2023
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