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NPI Verification

National Provider Identifier: 1528777505

Breakaway Health Services LLC

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

843 MAIN ST # 15

MANCHESTER, CT 060406020

Phone: 860-648-3001

NPI Enumeration Date

November 18, 2022

NPI Number

1528777505

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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