Individual
MR. ALEXANDER IVAN BERRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
321 FORTUNE BLVD, MILFORD, MA 01757-1750
(508) 478-0207
Mailing address
5 KAY ST, SPRINGFIELD, MA 01109-1310
(413) 244-8214
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
06/24/2008
Last updated
12/12/2012
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