Organization
BRIETER T C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MUSCALA (CEO)
(860) 951-2860
Entity
Organization
Contact information
Practice address
2842 MAIN ST STE 309, GLASTONBURY, CT 06033-1077
(860) 951-2860
Mailing address
2842 MAIN ST STE 309, GLASTONBURY, CT 06033-1077
(860) 951-2860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41875
CT
Other
Enumeration date
08/03/2012
Last updated
09/18/2012
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