Individual
EDWARD BRETTHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 E 30TH ST, NEW YORK, NY 10016-8202
(212) 889-5544
(212) 481-1089
Mailing address
316 E 30TH ST, 2ND FLOOR, NEW YORK, NY 10016-8366
(212) 614-0039
(212) 253-9631
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
165247
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01683036
—
NY
Enumeration date
07/27/2006
Last updated
01/24/2011
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