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Individual

MOLLY BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
263 FARMINGTON AVE, UCONN MEDICAL GROUP/NEAG CANCER CENTER, FARMINGTON, CT 06030-0001
(860) 679-2100
(860) 679-4815
Mailing address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610

Taxonomy

Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
044786
CT
207VX0201X
Gynecologic Oncology Physician
Primary
MD61485708
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1447863
CT
Enumeration date
02/07/2006
Last updated
11/22/2024
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