Individual
LEIGH S BREZENOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 ALVORD PARK RD, TORRINGTON, CT 06790
(860) 482-8539
(860) 482-0258
Mailing address
245 ALVORD PARK RD, TORRINGTON, CT 06790
(860) 482-8539
(860) 482-0258
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
041605
CT
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
041605
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001416058
—
CT
01
—
010041605CT01
BC
CT
01
—
7957083
AETNA
CT
Enumeration date
04/18/2006
Last updated
06/17/2021
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