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Individual

JONATHAN A GASTEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 729-2800
(401) 729-2877
Mailing address
455 TOLL GATE RD, WARWICK, RI 02886-2759
(401) 729-2800
(401) 729-2877

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD09469
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1780672709
GROUP NPI #
Enumeration date
06/15/2006
Last updated
07/29/2024
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