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Individual

MARTIN DAVID RODGERS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
R.P.T.

Contact information

Practice address
870 MAIN ST, SPRINGFIELD, MA 01103-2105
(413) 734-7277
(413) 734-7879
Mailing address
31 LAUREL AVE, WESTFIELD, MA 01085-4545

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16652
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0033586
NEIGHBORHOOD HEALTH PLAN
MA
05
0323055
MA
01
3443500
AETNA
MA
01
704317
CONNECTICARE
MA
01
971057
NETWORK HEALTH
MA
01
Y68252
BLUECROSS/BLUESHIELD
MA
Enumeration date
10/26/2005
Last updated
07/09/2007
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