Central Connecticut Gastroenterology LLC
Organization Active NPI Specialist · South Windsor, CT
NPI 1295874105 · NPPES record last updated Jan 4, 2012
Key facts
- NPI
- 1295874105
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 021746 (CT)
- Legal business name
- CENTRAL CONNECTICUT GASTROENTEROLOGY LLC
- Practice address
- 2400 Tamarack Rd
Suite 101
South Windsor, CT 06074-5555 - Phone
- (860) 644-4442
- Fax
- (860) 644-1412
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Jeffrey Robert Breiter, MD
- Title
- Owner
- Phone
- (860) 644-4442
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 021746 | CT | Yes |
Addresses
Primary practice location
2400 Tamarack Rd
Suite 101
South Windsor, CT 06074-5555
Mailing address
2400 Tamarack Rd
Suite 101
South Windsor, CT 06074-5555
Phone (860) 644-4442
Other names
- Jeffrey R. Breiter, M.D.
Other providers in South Windsor, CT
- Nancy J Carter
- Judith Ann Caruso
- Laura Lyn Catania
- Michelle Catania
- Center for Vein Restoration CT LLC
- Central CT Wellness, LLC
- Aimee Chandler
- John Jason Chapman
- Wing Cheung
- Okechukwu C Chidiadi
All providers in South Windsor, CT · Specialist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.