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Individual
MARTIN DOMINIC DEVINE
Active
Individual
MARTIN DOMINIC DEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
200518
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
THREE RIVERS
—
01
—
155190
TUFTS HEALTH PLAN
—
01
—
2031301
FIRST HEALTH
—
01
—
31001
HEALTHY START
—
01
—
3183475
MEDICAID WELFARE
—
05
—
3183475
—
MA
01
—
42367
FALLON COMMUNITY HEALTH P
—
01
—
5478684
AETNA US HEALTHCARE
—
01
—
71937
HARVARD PILGRIM HEALTHCAR
—
01
—
786721
MVP HEALTH CARE
—
01
—
9077680
CIGNA HEALTH PLAN
—
01
—
J19558
BLUE SHIELD INDEMNITY
—
Enumeration date
03/28/2006
Last updated
01/31/2025
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