Individual
SCOTT E BREITENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
330 BROOKLINE AVE, YAMINS 219, BOSTON, MA 02215-5400
(617) 667-3364
(617) 667-5013
Mailing address
330 BROOKLINE AVE, YAMINS 219, BOSTON, MA 02215-5400
(617) 667-3364
(617) 667-5013
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
APRN00879
RI
367500000X
Certified Registered Nurse Anesthetist
Primary
RN228993
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001803
BLUE CHIP PROVIDER #
RI
01
—
1286
BLUE SHIELD PROVIDER #
RI
Enumeration date
05/02/2006
Last updated
09/28/2016
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