Ivan Rosario

NPI #1003220443 in Springfield, Massachusetts

Provider Information

NPI Number: 1003220443
Entity Type: Individual
Name: Ivan Rosario
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 13, 2014
Last Updated: Jun 13, 2014

Practice Location

Address: 1695 MAIN ST STE400
City: Springfield
State: Massachusetts
ZIP Code: 01103
Phone: (413) 739-5572

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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