Breakaway Health Services LLC
NPI #1528777505 in Manchester, Connecticut
Provider Information
- NPI Number
- 1528777505
- Entity Type
- Organization
- Organization Name
- Breakaway Health Services LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 18, 2022
- Last Updated
- Dec 18, 2024
Practice Location
- Address
- 843 MAIN ST # 15
- City
- Manchester
- State
- Connecticut
- ZIP Code
- 06040-6020
- Phone
- (860) 648-3001
Authorized Official
- Name
- TIM BOMBARD, APRN
- Title
- OWNER
- Phone
- (860) 214-4513
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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