Individual
BRYAN O PEREZ MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 SEYMOUR ST, HARTFORD, CT 06102-8000
(860) 972-5517
Mailing address
79 RETREAT AVE, HARTFORD, CT 06106-2527
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
77900
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2019
Last updated
07/02/2024
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