Individual
CANDICE ELIZABETH BREM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
609 ALBANY STREET, 3RD FLOOR, BOSTON, MA 02118-2515
(617) 638-5566
(617) 638-5575
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
273953
MA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
273953
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110134950A
—
MA
05
—
3133637
—
NH
Enumeration date
05/09/2014
Last updated
02/10/2025
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