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NPI Code Detail

MEDICARE: DR. JEFFREY T DREZNICK M.D.

MEDICARE: DR. JEFFREY T DREZNICK 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 Physician028004CT
2207RG0100XGastroenterology Physician028004CT

General Provider Information

NPI Number : 1902895436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY T DREZNICK M.D.
Provider Business Mailing Address
First Line : 67 MAPLE AVE
Second Line :
City : DERBY
State : CT
Zip : 06418-1328
Country : US
Telephone Number : 203-732-1256
Fax Number : 203-732-1539
Provider Business Practice Location Address
First Line : 22 WESTFIELD AVE
Second Line :
City : ANSONIA
State : CT
Zip : 06401-1158
Country : US
Telephone Number : 203-736-9919
Fax Number : 203-735-2055
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 02/19/2021

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