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Individual

DAVID T MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
41 MALL ROAD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5261
Mailing address
41 MALL ROAD, LAHEY CLINIC, INC., BURLINGTON, MA 01805-0001
(781) 744-5100
(781) 744-5261

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71280
MA
207RC0000X
Cardiovascular Disease Physician
Primary
71280
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110050724A
MA
01
71280
MEDICAL LICENSE NUMBER
MA
Enumeration date
06/15/2006
Last updated
05/23/2016
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