Individual
PAUL C HETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 MAIN ST, SPRINGFIELD, MA 01104-3300
(413) 739-5676
(413) 739-2278
Mailing address
2150 MAIN STREET, SPRINGFIELD, MA 01104
(413) 739-5676
(413) 739-2278
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
39373
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
039373
TUFTS HEALTH PLAN
MA
01
—
13044
HEALTH NEW ENGLAND
MA
05
—
2068443
—
MA
01
—
N51714
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/14/2006
Last updated
02/17/2010
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