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Individual

MR. THOMAS STEPHEN BREWER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
EMT, PHARMACY TECH

Contact information

Practice address
63 CELANTANO DR, NAUGATUCK, CT 06770-5214
(203) 841-9623
Mailing address
63 CELANTANO DR, NAUGATUCK, CT 06770-5214
(203) 841-9623

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
004299
CT
183700000X
Pharmacy Technician
0002476
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002476
PHARMACY TECH
CT
01
004299
EMERGENCY MEDICAL TECHNICIAN
CT
Enumeration date
04/11/2012
Last updated
04/11/2012
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