Individual
DR. CARL E DETTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-4418
(857) 364-6546
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-4418
(857) 364-6546
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41586
MA
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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