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NPI Code Detail

MEDICARE: JOAN C BREEN MD

MEDICARE: JOAN C BREEN MD
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
12084N0400XNeurology Physician9011NHNH
22084N0400XNeurology Physician75974MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10101696OTHERNH0101696YONH01
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104816156
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN C BREEN MD
Provider Business Mailing Address
First Line : 25 RAILROAD SQ
Second Line : SUITE 503
City : HAVERHILL
State : MA
Zip : 01832-5721
Country : US
Telephone Number : 978-556-5907
Fax Number : 978-521-8818
Provider Business Practice Location Address
First Line : 145 WARD HILL AVE
Second Line : WHITTIER REHABILITATION HOSPITAL
City : BRADFORD
State : MA
Zip : 01835-6928
Country : US
Telephone Number : 978-372-8000
Fax Number : 978-374-4423
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 03/02/2010

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Directions to “ JOAN C BREEN MD” Practice Location

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