RODEGELIO C ESTRADA, MD, Adult Medicine WARE, MA

Contact Information

RODEGELIO C ESTRADA, MD

83 SOUTH ST
STE 4
WARE, MA 01082-1660

Phone: 413-967-5588
Fax: 413-967-3166
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Adult Medicine	207QA0505X	08	Physician/Family Practice

Indicates primary specialty

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NPI Profile & details for RODEGELIO C ESTRADA · (Male)

NPI #	`1972590487`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	09/29/2005
Last updated	06/30/2008 - About 18 years ago
Sole proprietor ¹	Yes
Identifiers	MA License # 44191 MA Medicaid 0101079 MA Other B05040 BLUE CROSS AND BLUE SHIEL
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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