Individual
DR. TIMOTHY J MENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
50 WASON AVE FL 1, SPRINGFIELD, MA 01107-1280
(413) 794-5437
(413) 794-8901
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
2018-01919
NC
2080P0206X
Pediatric Gastroenterology Physician
Primary
273207
MA
2080P0206X
Pediatric Gastroenterology Physician
MD 14898
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2018-01919
NORTH CAROLINA MEDICAL LICENSE
NC
05
—
MENZY3045
—
NC
Enumeration date
08/11/2011
Last updated
03/07/2023
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