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Individual

ISAAC J RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1695 MAIN ST, SPRINGFIELD, MA 01103
(413) 739-5572
Mailing address
1695 MAIN ST, SPRINGFIELD, MA 01103-1348

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/02/2017
Last updated
08/02/2017
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  • Eligibility checks
  • EDI platform