Individual
DR. BRANDON ELLIS PRIORESCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
512 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4788
(860) 347-7636
Mailing address
512 SAYBROOK RD STE 100, MIDDLETOWN, CT 06457-4788
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
71106
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659638948
—
NH
Enumeration date
04/12/2012
Last updated
08/05/2022
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