Central Connecticut Gastroenterology LLC
NPI #1295874105 in South Windsor, Connecticut
Provider Information
- NPI Number
- 1295874105
- Entity Type
- Organization
- Organization Name
- Central Connecticut Gastroenterology LLC
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 6, 2007
- Last Updated
- Jan 4, 2012
Practice Location
- Address
- 2400 TAMARACK RD
- Address 2
- SUITE 101
- City
- South Windsor
- State
- Connecticut
- ZIP Code
- 06074-5555
- Phone
- (860) 644-4442
Authorized Official
- Name
- DR. JEFFREY ROBERT BREITER, MD
- Title
- OWNER
- Phone
- (860) 644-4442
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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