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Tara Vivenzio

NPI 1578960126 · on the registry since 2014

Practice

Address
65 Norman St
Springfield, MA 01104
Phone
(413) 262-8318

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-11-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts