Breiter Tech Corp
Organization Active NPI Internal Medicine Physician · Lincoln, RI
NPI 1336496777 · NPPES record last updated Aug 3, 2012
Key facts
- NPI
- 1336496777
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 12353 (RI)
- Legal business name
- BREITER TECH CORP
- Practice address
- 640 George Washington Hwy
Lincoln, RI 02865-4332 - Phone
- (216) 386-3815
- NPI assigned
- Aug 3, 2012
- Organization subpart
- No
Authorized official
- Name
- Stefan Gravenstein
- Title
- Ceo
- Phone
- (216) 386-3815
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | 12353 | RI | Yes |
Addresses
Primary practice location
640 George Washington Hwy
Lincoln, RI 02865-4332
Mailing address
640 George Washington Hwy
Lincoln, RI 02865-4332
Phone (216) 386-3815
Other providers in Lincoln, RI
- Chandra Braddock
- Kristina Bradley
- Caitlyn Ann Braga
- Melissa Brandt
- Andrew Spencer Brawner
- Naisha Bretous
- Garlan Brosnahan
- Nicholas Paul Bruno
- James David Burrill
- Chante Butler
All providers in Lincoln, RI · Internal Medicine Physician in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 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.