Individual
DR. MARTIN VICTOR PUSIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
002206
NY
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
281998
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02098488
—
NY
Enumeration date
03/21/2006
Last updated
02/21/2020
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