Individual
DR. WILLIAM L BRECKWOLDT III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
70797
MA
208600000X
Surgery Physician
70797
MA
2086S0129X
Vascular Surgery Physician
Primary
70797
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3053318
—
MA
Enumeration date
03/08/2006
Last updated
02/28/2020
Update your record
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