Individual
DR. JEFFREY ROBERT BREITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 TAMARACK AVE, SUITE 101, SOUTH WINDSOR, CT 06074-5539
(860) 644-4442
(860) 644-1412
Mailing address
2139 SILAS DEANE HWY, ROCKY HILL, CT 06067-2336
(860) 257-4131
(860) 257-4519
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
021746
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001217462
—
CT
01
—
010021746CT01
BLUE CROSS BLUE SHIELD
CT
01
—
054626
CONNECTICARE
CT
01
—
0V8025
HEALTHNET
CT
01
—
543542
AETNA
CT
01
—
HAS731
OXFORD HEALTHCARE
CT
Enumeration date
12/07/2005
Last updated
03/10/2015
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