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NPI Code Detail

MEDICARE: DR. PATRICK A BRESLIN D.O.

MEDICARE: DR. PATRICK A BRESLIN D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician34006478OH
2208M00000XHospitalist Physician34-006478OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689669053
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PATRICK A BRESLIN D.O.
Provider Business Mailing Address
First Line : 272 BENEDICT AVE
Second Line :
City : NORWALK
State : OH
Zip : 44857-2374
Country : US
Telephone Number : 419-668-8101
Fax Number : 419-660-2686
Provider Business Practice Location Address
First Line : 272 BENEDICT AVE
Second Line :
City : NORWALK
State : OH
Zip : 44857-2374
Country : US
Telephone Number : 419-668-8101
Fax Number : 419-660-2686
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2005
Last Update Date : 07/13/2015

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