Brezenoff, Leigh S

Brezenoff, Leigh S is an individual health care provider with primary practice located at 245 Alvord Park Rd , Torrington CT 06790. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Brezenoff, Leigh S can be contacted via phone (860) 482-8539.

Contact Information

Primary practice address
245 Alvord Park Rd Torrington CT 06790
Phone: (860) 482-8539
Fax: (860) 482-0258
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 041605 Connecticut
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 041605 Connecticut

Profile Details

NPI number 1972568616
LBN Legal business name Brezenoff, Leigh S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Jun 17th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972568616 NPPES
Connecticut Other 010041605CT01 BC
Connecticut Other 7957083 BC
Connecticut MEDICAID 001416058 BC

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