Provider Demographics
NPI:1033253729
Name:LUNDBERG, BRITA E (MD)
Entity Type:Individual
Prefix:
First Name:BRITA
Middle Name:E
Last Name:LUNDBERG
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 1:5 OAKWOOD TER
Mailing Address - Street 2:
Mailing Address - City:NEWTON CENTRE
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1423
Mailing Address - Country:US
Mailing Address - Phone:617-527-6267
Mailing Address - Fax:
Practice Address - Street 1:5 OAKWOOD TER
Practice Address - Street 2:
Practice Address - City:NEWTON CENTRE
Practice Address - State:MA
Practice Address - Zip Code:02459-1423
Practice Address - Country:US
Practice Address - Phone:617-527-6267
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA205448207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease