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NPI Code Detail

MEDICARE: DR. MATTHEW J BRESKE D.C.

MEDICARE: DR. MATTHEW J BRESKE D.C.
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
1111N00000XChiropractor31446CA

General Provider Information

NPI Number : 1750541702
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MATTHEW J BRESKE D.C.
Provider Business Mailing Address
First Line : 15055 LOS GATOS BLVD STE 310
Second Line :
City : LOS GATOS
State : CA
Zip : 95032-2056
Country : US
Telephone Number : 408-358-7900
Fax Number : 408-358-4020
Provider Business Practice Location Address
First Line : 15055 LOS GATOS BLVD STE 310
Second Line :
City : LOS GATOS
State : CA
Zip : 95032-2056
Country : US
Telephone Number : 408-358-7900
Fax Number : 408-358-4020
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2008
Last Update Date : 11/05/2009

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