Individual
AMY BREAKSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1131 WEST ST, BLDG 2, SOUTHINGTON, CT 06489-6006
(860) 276-6800
(860) 276-6801
Mailing address
1131 WEST ST, BLDG 2, SOUTHINGTON, CT 06489-6006
(860) 276-6800
(860) 276-6801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
030115
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001301150
—
CT
Enumeration date
09/06/2006
Last updated
10/20/2011
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