Organization
CENTRAL CONNECTICUT GASTROENTEROLOGY LLC
Active
Other names
Jeffrey R. Breiter, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY ROBERT BREITER MD (OWNER)
(860) 644-4442
Entity
Organization
Contact information
Practice address
2400 TAMARACK RD, SUITE 101, SOUTH WINDSOR, CT 06074-5555
(860) 644-4442
(860) 644-1412
Mailing address
2400 TAMARACK RD, SUITE 101, SOUTH WINDSOR, CT 06074-5555
(860) 644-4442
(860) 644-1412
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
021746
CT
Other
Enumeration date
02/06/2007
Last updated
01/04/2012
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