Individual
MARK ALAN RADZICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 BOYLSTON STREET, SPRINGFIELD, MA 01104
(413) 734-8254
(413) 747-5870
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
207R00000X
Internal Medicine Physician
Primary
40489
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30013000
—
MA
Enumeration date
03/02/2006
Last updated
04/05/2012
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