Individual
JOHN BREZNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
116 INTERSTATE PKWY, BRADFORD, PA 16701-1036
(814) 368-3123
Mailing address
PO BOX 159, BRADFORD, PA 16701-0159
(814) 368-3123
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD039253E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011741020002
—
PA
Enumeration date
06/07/2006
Last updated
07/08/2007
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