MEDICARE: DR. PAUL M MADAJ M.D.

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	207R00000X	Internal Medicine Physician	284299-1	NY
2	207RC0000X	Cardiovascular Disease Physician	1019498	MA
3	208M00000X	Hospitalist Physician	284299	NY
4	207RC0001X	Clinical Cardiac Electrophysiology Physician	1019498	MA

General Provider Information

NPI Number	:	1679994396
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL M MADAJ M.D.

Provider Business Mailing Address
First Line	:	50 MAPLE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1979
Country	:	US
Telephone Number	:	413-748-6484
Fax Number	:	413-748-6486

Provider Business Practice Location Address
First Line	:	50 MAPLE ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01103-1979
Country	:	US
Telephone Number	:	413-748-6484
Fax Number	:	413-748-6486

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

Provider Enumeration Date	:	12/23/2013
Last Update Date	:	06/12/2024

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