Provider Demographics
NPI:1144495011
Name:WADZINSKI, THOMAS L (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:L
Last Name:WADZINSKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1176 MEMORIAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-3978
Mailing Address - Country:US
Mailing Address - Phone:413-593-1333
Mailing Address - Fax:413-593-1444
Practice Address - Street 1:1176 MEMORIAL DR STE 2
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-3978
Practice Address - Country:US
Practice Address - Phone:413-593-1333
Practice Address - Fax:413-593-1444
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2024-11-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA247603208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics