Dr ROSETTE PERSEVERANDA O ODULIO is a female medical professional, specializing in Internal Medicine. She graduated in 1999.
BAYSTATE MEDICAL PRACTICES INC
21 DWIGHT RD
104 BAYSTATE PRIMARY CARE LONGMEADOW
LONGMEADOW
MA
011061765
Tel: 4137944555
| Npi | 1326111634 |
| Pac Id | 9335235860 |
| Professional Enrollment Id | I20071015000499 |
| Last Name | ODULIO |
| First Name | ROSETTE |
| Middle Name | PERSEVERANDA O |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | BAYSTATE MEDICAL PRACTICES INC |
| Group Practice Pac Id | 5991602971 |
| Number Of Group Practice Members | 899 |
| Line 1 Street Address | 21 DWIGHT RD |
| Line 2 Street Address | 104 BAYSTATE PRIMARY CARE LONGMEADOW |
| Marker Of Address Line 2 Suppression | |
| City | LONGMEADOW |
| State | MA |
| Zip Code | 011061765 |
| Phone Number | 4137944555 |
| Hospital Affiliation Ccn 1 | 220077 |
| Hospital Affiliation Lbn 1 | BAYSTATE MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 220066 |
| Hospital Affiliation Lbn 2 | MERCY MEDICAL CTR |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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