Provider Demographics
NPI:1174841811
Name:BRESLIN, MOIRA ELIZABETH (MD)
Entity Type:Individual
Prefix:MISS
First Name:MOIRA
Middle Name:ELIZABETH
Last Name:BRESLIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10440 SW 60TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-2826
Mailing Address - Country:US
Mailing Address - Phone:305-725-4647
Mailing Address - Fax:
Practice Address - Street 1:T0919 CHILDRENS HEALTH CTR
Practice Address - Street 2:BOX 2808 DUMC
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:305-725-4647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-05
Last Update Date:2010-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program