Provider Demographics
NPI:1942366026
Name:FLANDREAU, PAUL STRADLEY (MD, MED)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:STRADLEY
Last Name:FLANDREAU
Suffix:
Gender:M
Credentials:MD, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CROCKER AVE
Mailing Address - Street 2:
Mailing Address - City:TURNERS FALLS
Mailing Address - State:MA
Mailing Address - Zip Code:01376-1927
Mailing Address - Country:US
Mailing Address - Phone:413-863-4325
Mailing Address - Fax:413-863-4325
Practice Address - Street 1:17 CROCKER AVE
Practice Address - Street 2:
Practice Address - City:TURNERS FALLS
Practice Address - State:MA
Practice Address - Zip Code:01376-1927
Practice Address - Country:US
Practice Address - Phone:413-863-4325
Practice Address - Fax:413-863-4325
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA47717208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice