Individual
DR. PAIGE JAMES BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
79 WAWECUS ST, SUITE 106, NORWICH, CT 06360-2160
(860) 886-2679
(860) 889-2862
Mailing address
79 WAWECUS ST, SUITE 106, NORWICH, CT 06360-2160
(860) 886-2679
(860) 889-2862
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
042747
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D400003782
MEDICARE PTAN
CT
Enumeration date
10/26/2006
Last updated
03/24/2017
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