MEDICARE: ANNE BREWER MD

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
1	207Q00000X	Family Medicine Physician	022990	CT

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	P00115943	OTHER	CT	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01002990CT01	OTHER	CT	ANTHEM BC/BS
2	0V5754	OTHER	CT	HEALTH NET
3	050229	OTHER	CT	CONNECTICARE
4	ZP766	OTHER	CT	OXFORD HEALTH PLAN
5	077381	OTHER	CT	EMPIRE BC/BS
6	83155	OTHER	CT	AETNA

General Provider Information

NPI Number	:	1932118577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE BREWER MD

Provider Business Mailing Address
First Line	:	1351 WASHINGTON BLVD
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2419
Country	:	US
Telephone Number	:	203-621-3700
Fax Number	:	203-653-2303

Provider Business Practice Location Address
First Line	:	1351 WASHINGTON BLVD
Second Line	:
City	:	STAMFORD
State	:	CT
Zip	:	06902-2419
Country	:	US
Telephone Number	:	203-621-3700
Fax Number	:	203-621-3715

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	07/06/2010

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Directions to “ ANNE BREWER MD” Practice Location

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