Individual
GLADYS L RODRIGUEZ-MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SAINT GEORGE RD, SPRINGFIELD, MA 01104-3333
(413) 732-2120
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 736-8329
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042622756
COMMONWEALTH CARE ALLIANCE
MA
01
—
12529
HEALTH NEW ENGLAND
—
01
—
1307576
MBHP
—
05
—
1307576
—
MA
01
—
71756
TUFTS
—
01
—
8443
BMC
MA
01
—
997303
NETWORK HEALTH
MA
Enumeration date
09/14/2012
Last updated
09/14/2012
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