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Individual

MR. BRENDAN J BERUBE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
82 NEW PARK AVE, NORTH FRANKLIN, CT 06254-1807
(860) 889-7345
Mailing address
201 HUME DR, HAMDEN, CT 06514-1635
(203) 812-0271

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
1211327
CT
363AS0400X
Surgical Physician Assistant
Primary
7164
CT

Other

Enumeration date
06/04/2025
Last updated
08/15/2025
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