Individual
MARCUS GASTON THOMAS MARTINEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Mailing address
101 DUDLEY ST, PROVIDENCE, RI 02905-2401
(401) 274-1100
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
LP02039
RI
Other
Enumeration date
02/09/2011
Last updated
02/09/2011
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