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Individual
GLORIA G MARTIN
Active
Individual
GLORIA G MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WOMANS HEALTH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
159042
MA
363LW0102X
Women's Health Nurse Practitioner
159042
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300709
CMSP-GROUP
MA
05
—
1300709
—
MA
01
—
58497
CMSP
MA
01
—
Y10141
BCBS-GROUP
MA
Enumeration date
08/09/2006
Last updated
12/15/2011
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