Male or Other

Adam G. Wychowski M.D.

Internal Medicine Physician in Springfield, MA(View on Map)

Full Name

Adam Gregory Wychowski M.D.

NPI Number

1003806902

NPI Type

Individual Provider

Gender

Male

Enumeration Date

10/24/2005

Specialties

(Taxonomies)

Code

207R00000X
208000000X

Primary Taxonomy

Yes
No

Licenses

State

Massachusetts

License Number

223722

Contact
Information

Purpose

Mailing
Location

Address

3640 MAIN ST STE 207
3640 MAIN ST STE 207

City

Springfield
Springfield

State

MA
MA

Postal Code

01107-1084
01107-1192

Country

US
US

Telephone Number

(413) 733-0669
(413) 739-0669

Identifiers

Identifier

2105276
470306
36483
J28919

Identifier State

MA
MA
MA
MA

Identifier Issuer

Unknown
TUFTS HEALTH PLAN
HEALTH NEW ENGLAND
BLUE CROSS BLUE SHIELD MA

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/20/2019

Provider Address

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