Individual
DR. ALFRED O ADEGBOYEGUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
759 CHESTNUT ST, SPRINGFIELD, MA 01107-1619
(413) 794-5550
(413) 794-4212
Mailing address
PO BOX 906, WILBRAHAM, MA 01095-0906
(508) 595-0531
(508) 829-5367
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
230403
MA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
230403
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133105
—
MA
Enumeration date
03/26/2007
Last updated
04/18/2025
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