Organization
CHARLES J. BREEN, MD, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J BREEN MD (PRESIDENT)
(859) 746-1990
Entity
Organization
Contact information
Practice address
7370 TURFWAY RD, SUITE 370, FLORENCE, KY 41042-4895
(859) 746-1990
(859) 746-3149
Mailing address
7370 TURFWAY RD, SUITE 370, FLORENCE, KY 41042-4895
(859) 746-1990
(859) 746-3149
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65944670
—
KY
Enumeration date
07/19/2006
Last updated
12/01/2010
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