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NPI Code Detail

MEDICARE: LINDA MARTEL-DULUDE R.PH.

MEDICARE:   LINDA  MARTEL-DULUDE  R.PH.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6798CT
2183500000XPharmacist25599TX
3183500000XPharmacist27035MA

General Provider Information

NPI Number : 1407829617
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA MARTEL-DULUDE R.PH.
Provider Business Mailing Address
First Line : 380 PLAINFIELD ST
Second Line : BAYSTATE/BRIGHTWOOD HEALTH CENTER
City : SPRINGFIELD
State : MA
Zip : 01107-1524
Country : US
Telephone Number : 413-794-9442
Fax Number : 413-794-9443
Provider Business Practice Location Address
First Line : 380 PLAINFIELD ST
Second Line : BAYSTATE/BRIGHTWOOD HEALTH CENTER
City : SPRINGFIELD
State : MA
Zip : 01107-1524
Country : US
Telephone Number : 413-794-9442
Fax Number : 413-794-9443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2006
Last Update Date : 10/12/2011

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Directions to “ LINDA MARTEL-DULUDE R.PH.” Practice Location

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