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NPI Code Detail

MEDICARE: BREANA LYN DOYLE PA

MEDICARE: BREANA LYN DOYLE PA
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
1363AM0700XMedical Physician Assistant4767CT
2363A00000XPhysician Assistant4767CT

General Provider Information

NPI Number : 1669000170
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANA LYN DOYLE PA
Provider Business Mailing Address
First Line : 51 EASTFIELD DR
Second Line :
City : FAIRFIELD
State : CT
Zip : 06825-1116
Country : US
Telephone Number : 845-519-4999
Fax Number :
Provider Business Practice Location Address
First Line : 999 SUMMER ST STE 401
Second Line :
City : STAMFORD
State : CT
Zip : 06905-5513
Country : US
Telephone Number : 203-353-9099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2020
Last Update Date : 03/11/2026

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