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Individual

DR. PAUL MEDREK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BAYSTATE HEALTH, 3400A MAIN ST, SPRINGFIELD, MA 01199-0001
(413) 794-2176
(413) 794-5751
Mailing address
BAYSTATE HEALTH, 3400A MAIN ST, SPRINGFIELD, MA 01199-0001
(413) 794-2176
(413) 794-5751

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
72091
MA
2083X0100X
Occupational Medicine Physician
Primary
72091
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3067327
MA
Enumeration date
09/09/2005
Last updated
09/11/2025
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