Organization
LORENZO J. BREA MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORENZO J BREA MD (OWNER)
(609) 463-2755
Entity
Organization
Contact information
Practice address
2 STONE HARBOR BLVD, CAPE MAY COURT HOUSE, NJ 08210-2138
(609) 463-2755
Mailing address
PO BOX 103, STONE HARBOR, NJ 08247-0103
(609) 463-2755
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MA02288900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2460009
—
NJ
Enumeration date
04/18/2006
Last updated
10/24/2007
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