Provider Demographics
NPI:1306976063
Name:BREINER, JUNE ELIZABETH (MD)
Entity type:Individual
Prefix:MRS
First Name:JUNE
Middle Name:ELIZABETH
Last Name:BREINER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1205 YORK RD STE 25B
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-6222
Mailing Address - Country:US
Mailing Address - Phone:410-823-1191
Mailing Address - Fax:410-823-1194
Practice Address - Street 1:1205 YORK RD
Practice Address - Street 2:SUITE 32C
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6210
Practice Address - Country:US
Practice Address - Phone:410-823-1191
Practice Address - Fax:410-823-1194
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-06
Last Update Date:2020-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0040208207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDJB0880761OtherINTERNAL MEDICINE