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Individual
DR. DAVID M MARTIN
Active
Individual
DR. DAVID M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1670
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1613804
—
MA
01
—
23082
BMC
MA
01
—
655921
ACN
—
01
—
Y36185
BXBS
MA
01
—
Y39663
BXBS
MA
Enumeration date
12/05/2006
Last updated
08/29/2007
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