Provider Demographics
NPI:1225092299
Name:FRANCZYK, CHESTER F (MD)
Entity Type:Individual
Prefix:
First Name:CHESTER
Middle Name:F
Last Name:FRANCZYK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:444 MONTGOMERY STREET
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-1997
Mailing Address - Country:US
Mailing Address - Phone:413-594-3111
Mailing Address - Fax:413-789-8047
Practice Address - Street 1:444 MONTGOMERY ST
Practice Address - Street 2:
Practice Address - City:CHICOPEE
Practice Address - State:MA
Practice Address - Zip Code:01020-1997
Practice Address - Country:US
Practice Address - Phone:413-594-3111
Practice Address - Fax:413-789-8047
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2011-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47492208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0194867Medicaid
MAPX7481Medicare PIN
MAE01815Medicare UPIN
MA0194867Medicaid