Individual
RICHARD E GARSTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
593 EDDY ST, MAIN BUILDING 6TH FLOOR, PROVIDENCE, RI 02903-4923
(401) 444-8362
(401) 444-8366
Mailing address
31 DANIELS ST, MAIN BUILDING 6TH FLOOR, FRANKLIN, MA 02038-1103
(401) 444-8362
(401) 444-8366
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NPP37715
RI
363LA2100X
Acute Care Nurse Practitioner
NPP37715
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110087496A
—
MA
Enumeration date
02/22/2006
Last updated
02/12/2016
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