Individual
DR. CHARLES J BREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7370 TURFWAY RD, STE 300, FLORENCE, KY 41042-4895
(859) 746-1990
(859) 746-3149
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 746-1990
(859) 746-3149
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
30914
KY
174400000X
Specialist
35-06-7760-B
OH
207W00000X
Ophthalmology Physician
Primary
30914
KY
207W00000X
Ophthalmology Physician
35.067760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102347
—
OH
05
—
64309149
—
KY
Enumeration date
06/01/2005
Last updated
09/18/2018
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