Brem, Candice Elizabeth
Brem, Candice Elizabeth is an individual health care provider with primary practice located at 609 Albany St # J-300 , Boston MA 02118-2515. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Brem, Candice Elizabeth can be contacted via phone (617) 638-5566.Contact Information
Primary practice address
609 Albany St # J-300
Boston MA 02118-2515
Phone: (617) 638-5566
Fax: (617) 638-5575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 273953 | Massachusetts |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | 273953 | Massachusetts |
Profile Details
| NPI number | 1144631367 |
|---|---|
| LBN Legal business name | Brem, Candice Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2014 |
| Last updated | May 31st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144631367 | NPPES |
| New Hampshire | MEDICAID | 3133637 | |
| New Hampshire | MEDICAID | 110134950A |
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