MEDICARE: WACLAW HOJNOSKI JR. M.D., INC.

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	208600000X	Surgery Physician	27873	MA

General Provider Information

NPI Number	:	1710121256
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WACLAW HOJNOSKI JR. M.D., INC.

Provider Business Mailing Address
First Line	:	76 SHEFFORD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1227
Country	:	US
Telephone Number	:	413-531-0276
Fax Number	:	413-566-1156

Provider Business Practice Location Address
First Line	:	76 SHEFFORD ST
Second Line	:
City	:	SPRINGFIELD
State	:	MA
Zip	:	01107-1227
Country	:	US
Telephone Number	:	413-531-0276
Fax Number	:	413-566-1156

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	MRS. LAURA M. MCMAHON
Credential	:	OWNER
Telephone Number	:	413-566-1155

Provider Enumeration Date	:	04/28/2009
Last Update Date	:	04/28/2009

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