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NPI Code Detail

MEDICARE: DR. JOSEPH A. BRENES M.D.

MEDICARE: DR. JOSEPH A. BRENES 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 Physician019732CT
2207R00000XInternal Medicine PhysicianMD20347RI
3207R00000XInternal Medicine Physician1021646MA

General Provider Information

NPI Number : 1467590703
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOSEPH A. BRENES M.D.
Provider Business Mailing Address
First Line : 76 BATTERSON PARK RD STE 106
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 860-299-6158
Fax Number : 203-879-0834
Provider Business Practice Location Address
First Line : 76 BATTERSON PARK RD STE 106
Second Line :
City : FARMINGTON
State : CT
Zip : 06032-2571
Country : US
Telephone Number : 203-598-6045
Fax Number : 203-879-0834
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2007
Last Update Date : 12/08/2025

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