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NPI Code Detail

MEDICARE: REBECCA BRIENZA M.D.

MEDICARE: REBECCA BRIENZA M.D.
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 Physician038054CT

General Provider Information

NPI Number : 1235263369
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BRIENZA M.D.
Provider Business Mailing Address
First Line : 121 WATER ST
Second Line :
City : NORWALK
State : CT
Zip : 06854-3013
Country : US
Telephone Number : 203-899-1770
Fax Number : 203-852-3984
Provider Business Practice Location Address
First Line : 121 WATER ST
Second Line :
City : NORWALK
State : CT
Zip : 06854-3013
Country : US
Telephone Number : 203-899-1770
Fax Number : 203-852-3984
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

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