# GREENWICH BAY MEDICAL ASSOCIATES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912458068
- **Authorized official:** DR. JONATHAN MARTIN MD (MD/OWNER)
- **Authorized official phone:** (401) 889-3669

## Contact information

- **Practice address:** 4300 POST ROAD, SUITE 1, WARWICK, RI 02818
- **Practice address phone:** (401) 889-3669
- **Mailing address:** 4300 POST ROAD, SUITE 1, WARWICK, RI 02818
- **Mailing address phone:** (401) 889-3669

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/24/2016
- **Last updated:** 02/23/2017