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: |