Individual
WAYNE R. BREARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 S LINCOLN AVE, LEBANON, PA 17042-7529
(717) 272-6621
Mailing address
127 KNOXLYN FARM DR, KENNETT SQUARE, PA 19348-2738
(610) 444-1829
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
C1-0009272
DE
208600000X
Surgery Physician
Primary
MD032858E
PA
Other
Enumeration date
04/11/2006
Last updated
04/07/2012
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