NPI | 1487058707 |
---|---|
Doing Business As | PBK PRIMARY CARE |
Doing Business As | PATRICK BREW PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | PATRICK BREW Owner/Provider 203-244-9529 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 005758) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2024-02-08 |