Andrew Steven Breza, EMT

Individual provider Active NPI Basic Emergency Medical Technician · Lititz, PA

NPI 1801256359 · NPPES record last updated Feb 26, 2016

Key facts

NPI
1801256359
Entity type
Individual (NPI type 1)
Primary specialty
Basic Emergency Medical Technician 146N00000X
License
100572 (PA)
Practice address
5 Japonica Dr
Lititz, PA 17543-9519
Phone
(202) 683-9021
NPI assigned
Feb 26, 2016
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Emergency Medical Technician

State licenses

LicenseStateTypeSpecialty
100572PAMDBasic Emergency Medical Technician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Basic Emergency Medical Technician 146N00000X 100572 PA Yes

Addresses

Primary practice location

5 Japonica Dr
Lititz, PA 17543-9519

Mailing address

4122 Edmunds St NW
#202
Washington, DC 20007-3916
Phone (202) 683-9021

Other providers in Lititz, PA

All providers in Lititz, PA · Basic Emergency Medical Technician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.