# MARTIN R LULOFF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1093749756
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 43877 | MA | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 10/29/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 043877 | TUFTS | MA |
| 01 | — | 12-01279 | UNITED HEALTHCARE | MA |
| 01 | — | 20017 | HEALTHSOURCE(CMHC) | MA |
| 01 | — | 20700 | HARVARD PILGRIM | MA |
| 05 | — | 2072734 | — | MA |
| 01 | — | 4223701 | AETNA | MA |
| 01 | — | 451063 | AETNA/US HEALTHCARE | MA |
| 01 | — | B10096001 | CIGNA | MA |
| 01 | — | E45016 | BLUE CROSS/BLUE SHIELD | MA |