Individual
ANTHONY MARTINEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
270 FARMINGTON AVE, SUITE 309, FARMINGTON, CT 06032-1909
(860) 677-5570
(860) 677-9570
Mailing address
130 WALNUT ST, BRIDGEPORT, CT 06604-5349
(203) 366-5677
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
037395
CT
Other
Enumeration date
05/25/2006
Last updated
07/08/2007
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