Provider Demographics
NPI:1023091766
Name:GUADIZ, PATRICK H (MD)
Entity type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:H
Last Name:GUADIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:171 MAIN ST STE 203B
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01721-1187
Mailing Address - Country:US
Mailing Address - Phone:508-881-3029
Mailing Address - Fax:508-881-1752
Practice Address - Street 1:154 TURNPIKE RD STE 130
Practice Address - Street 2:
Practice Address - City:SOUTHBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01772-2120
Practice Address - Country:US
Practice Address - Phone:508-881-5590
Practice Address - Fax:508-881-9031
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2024-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA222979207Q00000X
FLME92599207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
I43647Medicare UPIN
MA003133101Medicare PIN