Provider Demographics
NPI:1033180815
Name:BRETTMAN, LEE ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:LEE
Middle Name:ROBERT
Last Name:BRETTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:183 GREYSTONE LN
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-1396
Mailing Address - Country:US
Mailing Address - Phone:978-440-9050
Mailing Address - Fax:978-440-9250
Practice Address - Street 1:183 GREYSTONE LN
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-1396
Practice Address - Country:US
Practice Address - Phone:978-440-9050
Practice Address - Fax:978-440-9250
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA81909207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease