Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 81909 | MA |
NPI | 1033180815 |
---|---|
Provider Name | Dr. Lee Robert Brettman |
First Address | Sudbury, MA 01776-1396 |
Second Address | Sudbury, MA 01776-1396 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 08/07/2007 |