Provider Demographics
NPI:1811057581
Name:BREWSTER, WILLIAM C (MD)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:C
Last Name:BREWSTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:125 HUNT ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST WAKEFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03830-3709
Mailing Address - Country:US
Mailing Address - Phone:603-522-8717
Mailing Address - Fax:
Practice Address - Street 1:396 HIGH STREET
Practice Address - Street 2:SEACOAST REDICARE
Practice Address - City:SOMERSWORTH
Practice Address - State:NH
Practice Address - Zip Code:03878
Practice Address - Country:US
Practice Address - Phone:603-692-6066
Practice Address - Fax:603-692-4815
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2010-06-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NHNH7537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH9359Medicare ID - Type Unspecified
B86200Medicare UPIN