Provider Demographics
NPI:1477820637
Name:LITTMAN, BRUCE HENRY (MD)
Entity type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:HENRY
Last Name:LITTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:28 PRENTICE WILLIAMS RD
Mailing Address - Street 2:
Mailing Address - City:STONINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06378-1937
Mailing Address - Country:US
Mailing Address - Phone:860-303-6954
Mailing Address - Fax:860-572-7586
Practice Address - Street 1:28 PRENTICE WILLIAMS RD
Practice Address - Street 2:
Practice Address - City:STONINGTON
Practice Address - State:CT
Practice Address - Zip Code:06378-1937
Practice Address - Country:US
Practice Address - Phone:860-303-6954
Practice Address - Fax:860-572-7586
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-16
Last Update Date:2011-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT030425207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology