Individual
MARTHA B. BARGMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
26 CITY HALL MALL, MEDFORD, MA 02155-4754
(781) 306-5255
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3174
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018269
NEIGHBORHOOD HEALTH PLAN
MA
05
—
0302724
—
MA
01
—
B501027
CIGNA
MA
01
—
SP0083
BLUE CROSS
MA
Enumeration date
01/25/2006
Last updated
09/04/2008
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