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Individual
ANDERS MARTENSON III
Active
Individual
ANDERS MARTENSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51871
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026495
BMC HEALTH NET PLAN
—
01
—
051871
TUFTS
MA
01
—
1201921
UNITED HEALTHCARE
—
01
—
20145
HARVARD PILGRIM
—
05
—
3004708
—
MA
01
—
J05085
BCBS
MA
Enumeration date
08/14/2006
Last updated
03/29/2011
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