Individual
DR. BRIAN THOMAS TREZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
805 PAMPLICO HWY, FLORENCE, SC 29505-6047
(843) 792-1414
Mailing address
PO BOX 23321, NEW YORK, NY 10087-3221
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17416
NH
207R00000X
Internal Medicine Physician
2007-000516
NC
207R00000X
Internal Medicine Physician
21385
SC
207R00000X
Internal Medicine Physician
62579
CT
207R00000X
Internal Medicine Physician
MD28278
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213851
—
SC
Enumeration date
09/19/2006
Last updated
08/21/2024
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