Healthcare Provider Details

I. General information

NPI: 1215991922
Provider Name (Legal Business Name): MARGARET E BREYMANN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 07/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 COMMERCE WAY SUITE 2000
WOBURN MA
01801-1051
US

IV. Provider business mailing address

32 CORBETT RD
WORTHINGTON MA
01098-9719
US

V. Phone/Fax

Practice location:
  • Phone: 413-320-8172
  • Fax: 413-585-8367
Mailing address:
  • Phone: 413-238-5368
  • Fax: 413-586-4279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number171880NP
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: