MEDICARE: ZBIGNIEW PALUCH P.T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	8807	MA

General Provider Information

NPI Number	:	1043546401
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZBIGNIEW PALUCH P.T

Provider Business Mailing Address
First Line	:	336 LONGHILL ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-1407
Country	:	US
Telephone Number	:	413-739-0040
Fax Number	:

Provider Business Practice Location Address
First Line	:	336 LONGHILL ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01108-1407
Country	:	US
Telephone Number	:	413-739-0040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2009
Last Update Date	:	10/20/2009

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