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Individual
MR. JOHN A BREDA
Active
Individual
MR. JOHN A BREDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
155371
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0402531
UNITED HEALTHCARE
MA
05
—
3192121
—
MA
01
—
J19984
BCBSMA
MA
Enumeration date
03/14/2006
Last updated
10/07/2022
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