Active NPIIndividual provider

Dr. Alfred O Adegboyegun, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Springfield, Massachusetts

NPI Number1205953957
Practice location
759 Chestnut St, Springfield, MA 01107-1619
Fax
413-794-4212
Last updated
April 18, 2025

Alfred O Adegboyegun is a Thoracic Surgery (Cardiothoracic Vascular Surgery) based in Springfield, MA. Alfred O Adegboyegun practices in Springfield, MA and has the professional credentials of MD. The NPI Number for Alfred O Adegboyegun is 1205953957 and holds a License No. 230403 (MA). The current practice location address for Alfred O Adegboyegun is 759 Chestnut St, Springfield, MA 01107-1619 and can be reached out via phone at 413-794-5550 and via fax at 413-794-4212.

Provider Profile Details

NPI Number
1205953957
Provider Name
Alfred O Adegboyegun
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
759 Chestnut St, Springfield, MA 01107-1619
Phone Number
413-794-5550
Fax Number
413-794-4212
Sole Proprietor
No
Provider Enumeration Date
March 26, 2007
Last Update Date
April 18, 2025
Certification Date
April 18, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
759 Chestnut St
Springfield, MA 01107-1619
Zip
01107-1619
Phone Number
413-794-5550
Fax Number
413-794-4212
Springfield, MA 01107Get directions →

Provider Business Mailing Address Details

Address
Po Box 906
Wilbraham, MA 01095-0906
City
Wilbraham
State
MA
Zip
01095-0906
Phone Number
508-595-0531
Fax Number
508-829-5367

License Information

License Number (1)
230403
License State (1)
MA
Taxonomy (1)
Surgery · 208600000X
License Number (2)
230403
License State (2)
MA
Taxonomy (2)
Thoracic Surgery (Cardiothoracic Vascular Surgery) · 208G00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alfred O Adegboyegun, MD?

The NPI number of Dr. Alfred O Adegboyegun, MD is 1205953957. It was assigned on March 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Alfred O Adegboyegun, MD?

Dr. Alfred O Adegboyegun, MD is registered under the primary taxonomy Thoracic Surgery (Cardiothoracic Vascular Surgery) (code 208G00000X), licensed in MA under license number 230403.

Where does Dr. Alfred O Adegboyegun, MD practice?

The practice location is 759 Chestnut St, Springfield, MA 01107-1619. The office can be reached at 413-794-5550 (phone) or 413-794-4212 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205953957 directly on the NPPES registry website.

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