CENTRAL CONNECTICUT GASTROENTEROLOGY LLC NPI 1295874105

NPI Information

CENTRAL CONNECTICUT GASTROENTEROLOGY LLC is a specialist in South Windsor, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTRAL CONNECTICUT GASTROENTEROLOGY LLC NPI is 1295874105. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jeffrey R. Breiter, M.d..

The provider's business location address is:

2400 TAMARACK RD
SUITE 101
SOUTH WINDSOR, CT
ZIP 06074-555
Phone: (860) 644-4442
Fax: (860) 644-1412

The provider's authorized official is Jeffrey Robert Breiter .
The authorized official title is Owner and has the following contact phone number (860) 644-4442.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 1/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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