# GLORIA G MARTIN

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

## Provider details

- **NPI number:** 1720098668
- **Gender:** F
- **Credential:** WOMANS HEALTH

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 159042 | MA | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | 159042 | MA | — |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 12/15/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1300709 | CMSP-GROUP | MA |
| 05 | — | 1300709 | — | MA |
| 01 | — | 58497 | CMSP | MA |
| 01 | — | Y10141 | BCBS-GROUP | MA |