Wychowski, Adam Gregory
Wychowski, Adam Gregory is an individual health care provider with primary practice located at 3640 Main St Ste 207 , Springfield MA 01107-1192. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Wychowski, Adam Gregory can be contacted via phone (413) 739-0669.Contact Information
Primary practice address
3640 Main St Ste 207
Springfield MA 01107-1192
Phone: (413) 739-0669
Fax: (413) 739-0621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 223722 | Massachusetts |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 223722 | Massachusetts |
Profile Details
| NPI number | 1003806902 |
|---|---|
| LBN Legal business name | Wychowski, Adam Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jun 20th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003806902 | NPPES |
| Massachusetts | MEDICAID | 2105276 | |
| Massachusetts | Other | 470306 | |
| Massachusetts | Other | 36483 | |
| Massachusetts | Other | J28919 |
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