Provider Demographics
NPI:1407829617
Name:MARTEL-DULUDE, LINDA (RPH)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:MARTEL-DULUDE
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 PLAINFIELD ST
Mailing Address - Street 2:BAYSTATE/BRIGHTWOOD HEALTH CENTER
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01107-1524
Mailing Address - Country:US
Mailing Address - Phone:413-794-9442
Mailing Address - Fax:413-794-9443
Practice Address - Street 1:380 PLAINFIELD ST
Practice Address - Street 2:BAYSTATE/BRIGHTWOOD HEALTH CENTER
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01107-1524
Practice Address - Country:US
Practice Address - Phone:413-794-9442
Practice Address - Fax:413-794-9443
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6798183500000X
TX25599183500000X
MA27035183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist