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Individual

CAROLYN SACCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
77 MILL ST, WESTFIELD, MA 01085-4598
(413) 568-6141
Mailing address
148 HAMPDEN RD, EAST LONGMEADOW, MA 01028-3059

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
174021
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0300030
MBHP
MA
05
1300881
MA
Enumeration date
03/29/2007
Last updated
07/08/2007
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