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Individual

TIMOTHY MADER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
759 CHESTNUT STREET, SPRINGFIELD, MA 01199
(413) 794-3233
Mailing address
280 CHESTNUT STREET, 2ND FLOOR, SPRINGFIELD, MA 01199
(413) 794-5700

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
72438
MA
207R00000X
Internal Medicine Physician
72438
MA

Other

Enumeration date
10/05/2006
Last updated
08/05/2014
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