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General NPI Number Information
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NPI Number | 1245383074
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Entity Type | Organization
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Legal Business Name | DRS KREMEN AND BRESLIN PA
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5601 LOCH RAVEN BLVD POB SUITE 303
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City | BALTIMORE
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State | MD
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Zip | 21239-2905
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Country | US
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Telephone | 410-435-4700
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Fax | 410-323-0788
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Provider Business Mailing Address
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Address Line | 5601 LOCH RAVEN BLVD POB SUITE 303
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City | BALTIMORE
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State | MD
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Zip | 21239-2905
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Country | US
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Telephone | 410-435-4700
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Fax | 410-323-0788
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JEFFREY E KREMEN
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Credential | M.D.
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Telephone | 410-435-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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