Individual
ROSE S BERNAL-LARIOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7040
Mailing address
444 MONTGOMERY ST, CHICOPEE, MA 01020-1969
(413) 594-3111
(413) 598-7040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
234525
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080962/A
—
MA
Enumeration date
05/18/2007
Last updated
01/26/2017
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