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Individual

DOUGLAS BRYLLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
586 MIDDLE TPKE E, MANCHESTER, CT 06040-3730
(860) 645-3810
Mailing address
7 ROSEWOOD DR, PLAINVILLE, CT 06062-1055

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
018070
CT
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
001121
CT

Other

Enumeration date
11/29/2016
Last updated
10/28/2021
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