Individual
ANDERS MARTENSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
260 CENTER ST, MIDDLEBORO, MA 02346
(508) 946-1555
(508) 947-6731
Mailing address
PO BOX 1417, 260 CENTER ST, MIDDLEBORO, MA 02346-4417
(508) 946-1555
(508) 947-6731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
51871
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000026495
BMC HEALTH NET PLAN
—
01
—
051871
TUFTS
MA
01
—
1201921
UNITED HEALTHCARE
—
01
—
20145
HARVARD PILGRIM
—
05
—
3004708
—
MA
01
—
J05085
BCBS
MA
Enumeration date
08/14/2006
Last updated
03/29/2011
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