Individual
JEFFREY DAVID MARTENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
714 MAIN ST, YARMOUTH PORT, MA 02675-2000
(508) 362-1600
(508) 362-5957
Mailing address
714 MAIN ST, YARMOUTH PORT, MA 02675-2000
(508) 362-1600
(508) 362-5957
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
234351
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000597301
PTAN
MA
05
—
2151880
—
MA
Enumeration date
02/13/2006
Last updated
06/05/2012
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