Provider Demographics
NPI:1134319270
Name:STROBEL, KRESZENTIA M (MD)
Entity Type:Individual
Prefix:
First Name:KRESZENTIA
Middle Name:M
Last Name:STROBEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BAY PATH DR
Mailing Address - Street 2:
Mailing Address - City:BOYLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:01505-1427
Mailing Address - Country:US
Mailing Address - Phone:508-869-6854
Mailing Address - Fax:
Practice Address - Street 1:26 BAY PATH DR
Practice Address - Street 2:
Practice Address - City:BOYLSTON
Practice Address - State:MA
Practice Address - Zip Code:01505-1427
Practice Address - Country:US
Practice Address - Phone:508-869-6854
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47052208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics