Individual
DR. KATHERINE M MARTIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MAGUIRE RD, LURIE CENTER FOR AUTISM, LEXINGTON, MA 02421-3114
(781) 860-1700
(781) 860-1766
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(781) 860-1700
(781) 860-1766
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
54511
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054511
TUFTS HEALTH PLAN
MA
05
—
3058654
—
MA
01
—
J09444
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
01/18/2013
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