Individual
MILAGROS LOPEZ GERENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
BAYSTATE MEDICAL CENTER, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199
(413) 794-0000
Mailing address
BAYSTATE MEDICAL CENTER, 759 CHESTNUT STREET, SPRINGFIELD, MA 01199
(413) 794-0000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D0096711
MD
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2016
Last updated
07/31/2024
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