Individual
DR. ALBERT E THIELEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
98 SHAKER ROAD, EAST LONGMEADOW, MA 01028-1838
(413) 525-3958
(413) 525-3943
Mailing address
354 BIRNIE AVE, HAMPDEN COUNTY PHYSICIAN ASSOCIATES, SPRINGFIELD, MA 01107-1108
(413) 733-3470
(413) 733-5235
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
66857874
—
MA
Enumeration date
10/25/2005
Last updated
04/05/2012
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