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Ida C Sudol, MA
Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts
NPI 1043885932

Ida C Sudol is a Student in an Organized Health Care Education/Training Program based in West Hartford, MA. Ida C Sudol practices in Springfield, MA and has the professional credentials of MA. The NPI Number for Ida C Sudol is 1043885932 and holds a License No. (Massachusetts).

The current practice location address for Ida C Sudol is 1695 Main St Fl 400, Springfield, MA and can be reached out via phone at 431-739-5572.

Location: 1695 Main St Fl 400, Springfield, MA, 06107-2029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043885932
Provider Name
Ida C Sudol
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
1695 Main St Fl 400, Springfield, MA, 06107-2029
Phone Number
431-739-5572
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1695 Main St Fl 400
City
Springfield
State
Massachusetts
Zip
01103-1063
Phone Number
431-739-5572
Fax Number
person
Provider Business Mailing Address Details
Address
1695 Main St Fl 400
City
Springfield
State
Massachusetts
Zip
01103-1063
Phone Number
431-739-5572
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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