Organization
ROBERT A BREINER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ANTHONY BREINER DPM (OWNER)
(703) 941-7770
Entity
Organization
Contact information
Practice address
5105 BACKLICK RD., SUITE S, ANNANDALE, VA 22003-6005
(703) 941-7770
Mailing address
5105 BACKLICK RD., SUITE S, ANNANDALE, VA 22003-6005
(703) 941-7770
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0103000805
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9301615
—
VA
Enumeration date
07/18/2006
Last updated
11/19/2007
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