Medrek, Paul

Medrek, Paul is an individual health care provider with primary practice located at Baystate Health 3400A Main St, Springfield MA 01199-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Medrek, Paul can be contacted via phone (413) 794-2176.

Contact Information

Primary practice address
Baystate Health 3400A Main St Springfield MA 01199-0001
Phone: (413) 794-2176
Fax: (413) 794-5751
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 72091 Massachusetts
Allopathic & Osteopathic Physicians / Occupational Medicine 2083X0100X 72091 Massachusetts

Profile Details

NPI number 1760476360
LBN Legal business name Medrek, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760476360 NPPES
Massachusetts MEDICAID 3067327

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