Stephen Dean Breda in Bridgeport - Otolaryngology
Stephen Dean Breda - NPI 1295771848
Stephen Dean Breda is a Otolaryngology in Bridgeport, Connecticut. Stephen Dean Breda practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Stephen Dean Breda is 1295771848. The last update date is 2007-07-08.
Stephen Dean Breda's current location address is 4695 Main St, Bridgeport, Connecticut. You can contact this provider via phone number 2033715166 and fax number 2033747123. The mailing address for Stephen Dean Breda is 4695 Main St, Bridgeport, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Dean Breda |
|---|---|
| Address | 4695 Main St, Bridgeport, Connecticut |
| Phone Number | 2033715166 |
| Fax Number | 2033747123 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1295771848 |
|---|---|
| Provider Enumeration Date | 2006-06-21 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4695 Main St |
|---|---|
| City | Bridgeport |
| State | Connecticut (CT) |
| Post Code | 66061802 |
| Phone Number | 2033715166 |
| Fax Number | 2033747123 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 29401 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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What is the unique provider identifier assigned to Stephen Dean Breda?
The Stephen Dean Breda has been issued the NPI (National Provider Identifier) 1295771848 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Stephen Dean Breda's facilities are geographically located?
The facilities of Stephen Dean Breda are physically situated at the following location: 4695 Main St, Bridgeport, CT, 66061802.
What is Stephen Dean Breda's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Stephen Dean Breda's specialized field of practice is Otolaryngology, and the corresponding taxonomy code that categorizes this area of specialization is 207Y00000X.
On what date did the Stephen Dean Breda receive the assignment of its 1295771848 from the Centers for Medicare & Medicaid Services?
The Stephen Dean Breda was issued its 1295771848 by the Centers for Medicare & Medicaid Services on 2006-06-21.
When was the information regarding Stephen Dean Breda most recently updated?
The details pertaining to the Stephen Dean Breda, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN