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Nicholas Alexius Streltzov, MD
Student in an Organized Health Care Education/Training Program in Brockton, Massachusetts
NPI 1760242622

Nicholas Alexius Streltzov is a Student in an Organized Health Care Education/Training Program based in Providence, MA. Nicholas Alexius Streltzov practices in Brockton, MA and has the professional credentials of MD. The NPI Number for Nicholas Alexius Streltzov is 1760242622 and holds a License No. (Massachusetts).

The current practice location address for Nicholas Alexius Streltzov is 680 Centre St, Brockton, MA and can be reached out via phone at 508-941-7210.

Location: 680 Centre St, Brockton, MA, 02904-1283
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760242622
Provider Name
Nicholas Alexius Streltzov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
680 Centre St, Brockton, MA, 02904-1283
Phone Number
508-941-7210
Fax Number
Provider Enumeration Date
03/19/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
508-941-7210
Fax Number
person
Provider Business Mailing Address Details
Address
680 Centre St
City
Brockton
State
Massachusetts
Zip
02302-3308
Phone Number
508-941-7210
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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