Daniel John Breault M.D.

NPI 1699955021 - Internal Medicine - 207R00000X

NPI Details
NPI 1699955021
Gender Male
Enumeration Date 11/14/2007
Last Updated 07/19/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
WILMINGTON NC, 28401-7307, US
Phone (910) 341-3300
Fax (910) 251-8824
Business Location
PO BOX 60447
CHARLOTTE NC, 28260-0447, US
Phone (704) 384-7680
Fax (866) 345-8963
Taxonomy Code 207R00000X
License State Illinois
License Number 125049041
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According to our database, Dr. Daniel John Breault M.D. NPI is 1699955021, taxonomy code is 207R00000X and license number is 125049041, license state is located at Illinois. Daniel John Breault M.D. physically located at 1202 Medical Center Dr, Wilmington NC, 28401-7307. NPI Number Daniel John Breault M.D. has the Individual type.

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1699955021 NPI number is provided on an as is basis without warranty of any kind. 1699955021 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel John Breault M.D. are for informational purposes only.