Individual
DR. TED M KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PEDIATRIC PULMONARY MEDICINE, WORCESTER, MA 01655-0002
(774) 441-8086
(774) 441-8071
Mailing address
PO BOX 415348, BOSTON, MA 02241-0001
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
220911
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
220911
MA
2080S0012X
Pediatric Sleep Medicine Physician
220911
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110036698A
—
MA
Enumeration date
11/20/2005
Last updated
11/09/2020
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