Individual
DR. JOHN R. BRERETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4215
(607) 337-4102
Mailing address
179 N BROAD ST, NORWICH, NY 13815-1019
(607) 337-4215
(607) 337-4102
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
131008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00582729
—
NY
05
—
131008
—
NY
Enumeration date
10/18/2006
Last updated
12/18/2012
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