Individual
ADAM G WYCHOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3640 MAIN ST STE 207, SPRINGFIELD, MA 01107-1192
(413) 739-0669
(413) 739-0621
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-3909
(413) 794-1629
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
223722
MA
208000000X
Pediatrics Physician
223722
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2105276
—
MA
01
—
36483
HEALTH NEW ENGLAND
MA
01
—
470306
TUFTS HEALTH PLAN
MA
01
—
J28919
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
10/24/2005
Last updated
05/11/2026
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