| Breiter Tech Corp | |
|
640 George Washington Hwy Lincoln RI 02865-4332 | |
| (216) 386-3815 | |
| Not Available |
| Full Name | Breiter Tech Corp |
|---|---|
| Speciality | Internal Medicine |
| Location | 640 George Washington Hwy, Lincoln, Rhode Island |
| Authorized Official Name and Position | Stefan Gravenstein (CEO) |
| Authorized Official Contact | 2163863815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breiter Tech Corp 640 George Washington Hwy Lincoln RI 02865-4332 Ph: (216) 386-3815 | Breiter Tech Corp 640 George Washington Hwy Lincoln RI 02865-4332 Ph: (216) 386-3815 |
| NPI Number | 1336496777 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336496777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 12353 (Rhode Island) | Primary |
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