Individual
DR. BRUCE I GODEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 RIVER DR, HADLEY, MA 01035-3540
(413) 582-1839
(413) 582-6855
Mailing address
PO BOX 380, 8 RIVER DR., HADLEY, MA 01035-0380
(413) 582-1839
(413) 582-6855
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
50762
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3037746
—
MA
Enumeration date
01/05/2007
Last updated
10/10/2012
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