(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003220443
Provider Name: IVAN ROSARIO
Entity Type: Individual
Taxonomy Code: 101Y00000X
Specialty: Counselor
License Number:
Most Important Dates
Enumeration Date: 06/13/2014
Last Updated: 06/13/2014
Provider Practice Location
1695 MAIN ST STE400
SPRINGFIELD
MA
01103
Practice Location Phone/Fax
Phone: 4137395572
Fax:
Provider Mailing Location
1695 MAIN ST STE400
SPRINGFIELD
MA
01103
Provider Mailing Phone/Fax
Phone: 4137395572
Fax: