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NICHOLAS ALEXIUS STRELTZOV MD
NPI 1760242622
Student in an Organized Health Care Education/Training Program in Brockton, MA

Active since March 19, 2024
680 CENTRE ST, BROCKTON, MA 02302(508) 941-7210 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicholas Alexius Streltzov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLAS ALEXIUS STRELTZOV MD (NPI 1760242622) is an individual student in an organized health care education/training program in Brockton, Massachusetts and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1760242622
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS ALEXIUS STRELTZOVCredential: MD
Location Address680 CENTRE STBrockton, MA 02302-3308
Mailing Address9 Lisi LnProvidence, RI 02904-1283 · (916) 271-5202
Phone(508) 941-7210
Sole ProprietorNo
Enumeration DateMarch 19, 2024
NPPES CertifiedMarch 19, 2024
✔ NPI 1760242622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
680 CENTRE ST, Brockton, MA 02302
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOUIS D. GOTTLIEB M.D.
Internal Medicine
680 CENTRE ST, MANAGED CARE
BROCKTON, MA 02302
Plymouth County (508) 941-7065
MS. JAMIE CHYAT PA-C
Physician Assistant
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7000
BRANDEN M TURNER LMHC
Counselor (Mental Health)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
CARLY ALEXANDRA CARLIN MD
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
DR. ANGEL TAYLOR MD
Student in an Organized Health Care Education/Training Program
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 974-7000
DR. DESIREE A CARLSON MD
Pathology (Anatomic Pathology & Clinical Pathology)
680 CENTRE ST, PATHOLOGY DEPARTMENT
BROCKTON, MA 02302
Plymouth County (508) 941-7414
DEMIN MA M.D.
Psychiatry & Neurology (Psychiatry)
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7228
JENNIFER L. BUNKER
Social Worker
680 CENTRE ST
BROCKTON, MA 02302
Plymouth County (508) 941-7268

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicholas Streltzov's NPI number?

The NPI number for Nicholas Streltzov is 1760242622. It was assigned to this individual provider in the NPPES registry on March 19, 2024.

Where is Nicholas Streltzov located?

Nicholas Streltzov practices at 680 Centre St, Brockton, MA 02302. The listed phone number is (508) 941-7210.

What is Nicholas Streltzov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Nicholas Streltzov was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.