Organization
BREITER TECH CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY BREITER (CEO)
(860) 502-4587
Entity
Organization
Contact information
Practice address
2842 MAIN ST, STE 309, GLASTONBURY, CT 06033-1077
(860) 502-4587
Mailing address
2842 MAIN ST, STE 309, GLASTONBURY, CT 06033-1077
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
021746
CT
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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