Gonzalez Herran, Juan Manuel

Gonzalez Herran, Juan Manuel is an individual health care provider with primary practice located at 150 Lower Westfield Rd Ste 1 , Holyoke MA 01040-2676. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Gonzalez Herran, Juan Manuel can be contacted via phone (413) 536-2393.

Contact Information

Primary practice address
150 Lower Westfield Rd Ste 1 Holyoke MA 01040-2676
Phone: (413) 536-2393
Fax: (413) 536-1087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 239550 Massachusetts

Profile Details

NPI number 1942442538
LBN Legal business name Gonzalez Herran, Juan Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2009
Last updated Mar 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942442538 NPPES
Massachusetts MEDICAID 110084121A

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