Individual
BRETT NOWLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Mailing address
711 COTTAGE GROVE RD, BLOOMFIELD, CT 06002-3060
(860) 242-8756
(860) 242-3052
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
051350
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008049289
—
CT
01
—
D400087726
MEDICARE
CT
01
—
P01712116
RAILROAD MEDICARE
CT
Enumeration date
09/25/2007
Last updated
10/20/2016
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