Individual
MARTIN R LULOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 HOSPITAL DR, SUITE 207, BENNINGTON, VT 05201-5009
(802) 447-3930
(802) 447-8539
Mailing address
74 GORDONS WAY, ARLINGTON, VT 05250
(508) 435-5506
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
43877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043877
TUFTS
MA
01
—
12-01279
UNITED HEALTHCARE
MA
01
—
20017
HEALTHSOURCE(CMHC)
MA
01
—
20700
HARVARD PILGRIM
MA
05
—
2072734
—
MA
01
—
4223701
AETNA
MA
01
—
451063
AETNA/US HEALTHCARE
MA
01
—
B10096001
CIGNA
MA
01
—
E45016
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/10/2006
Last updated
10/29/2007
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