Individual
REBECCA BROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WASON AVE, SPRINGFIELD, MA 01107-1381
(413) 794-2442
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-0001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ML20008983
WA
2086S0120X
Pediatric Surgery Physician
Primary
267531
MA
Other
Enumeration date
08/23/2007
Last updated
07/18/2016
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