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Individual

DR. JOHN BREBBIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
106 IRVING ST NW, SUITE 3400, WASHINGTON, DC 20010-2927
(202) 877-7788
Mailing address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(202) 877-5133

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
D71965
MD
208600000X
Surgery Physician
Primary
MD039259
DC
2086S0127X
Trauma Surgery Physician
C1-0008069
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01870153
NY
05
10000041092
DE
01
5895690
AETNA
NY
01
9T2581
EMPIRE BC.BS
NY
01
P00390477
RAILROAD MEDICARE
DE
Enumeration date
07/18/2006
Last updated
05/28/2013
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