Organization
BREITER TECH CORP
Active
Organization
BREITER TECH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEFAN GRAVENSTEIN (CEO)
(216) 386-3815
Entity
Organization
Contact information
Practice address
640 GEORGE WASHINGTON HWY, LINCOLN, RI 02865-4332
(216) 386-3815
Mailing address
640 GEORGE WASHINGTON HWY, LINCOLN, RI 02865-4332
(216) 386-3815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
12353
RI
Other
Enumeration date
08/03/2012
Last updated
08/03/2012
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