Provider Demographics
NPI:1689655193
Name:STRICKLAND, REMEDIOS (MD)
Entity Type:Individual
Prefix:
First Name:REMEDIOS
Middle Name:
Last Name:STRICKLAND
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 1:460 TOTTEN POND RD
Mailing Address - Street 2:C/O MZI
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-1991
Mailing Address - Country:US
Mailing Address - Phone:781-890-9933
Mailing Address - Fax:781-890-9930
Practice Address - Street 1:235 N PEARL ST
Practice Address - Street 2:ATTN PATHOLOGY DEPT
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1794
Practice Address - Country:US
Practice Address - Phone:508-427-3086
Practice Address - Fax:508-588-0520
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA33578207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA033378OtherTUFTS
MA6178952Medicaid
MA341006OtherHPHC
MAJ02333OtherBCBS
MA6178952Medicaid
A56539Medicare UPIN