Individual
DR. MARTIN A ACQUADRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
736 CAMBRIDGE ST, BRIGHTON, MA 02135-2907
(617) 789-3023
Mailing address
BMCHS PROVIDER ENROLLMENT, 960 MASSACHUSETTS AVE FLR 2, BOSTON, MA 02118
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
54006
MA
208VP0000X
Pain Medicine Physician
54006
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054006
TUFTS HEALTH PLAN
MA
05
—
3124517
—
MA
01
—
J08549
BCBS MA
MA
Enumeration date
11/08/2005
Last updated
03/14/2025
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