Individual
STEVEN WILLIAM BREECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 CHESTNUT ST., SUITE 1518, PHILADELPHIA, PA 19107-4315
(215) 955-8706
(215) 955-8509
Mailing address
1015 CHESTNUT ST., SUITE 1518, PHILADELPHIA, PA 19107-4315
(215) 955-8706
(215) 955-8509
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-035802-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0084886000
KEYSTONE HEALTH PLAN
PA
01
—
155110
PA BLUE SHIELD
PA
01
—
60015055
RAILROAD MEDICARE
PA
Enumeration date
09/02/2006
Last updated
08/12/2008
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