Individual
LEIGH ALICE BRETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
417 STATE ST, WEBBER WEST SUITE 141, BANGOR, ME 04401-6630
(207) 973-4670
(207) 973-4661
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-4670
(207) 973-4661
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
016890
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061496
ANTHEM OF MAINE
ME
01
—
1288920
AETNA
ME
05
—
431955399
—
ME
Enumeration date
03/25/2007
Last updated
05/15/2020
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