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NPI Verification

National Provider Identifier: 1871710095

Mary Jane Moran Brackett, MD

Individual Provider

Credentials

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PO BOX 492

45 LITCHFIELD ROAD

WATERTOWN, CT 067951944

Phone: 860-274-5408

NPI Enumeration Date

April 19, 2007

NPI Number

1871710095

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