Individual
MARTHA WELCH DYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, GRB 1100, BOSTON, MA 02114-2696
(857) 238-3838
Mailing address
55 ORCHARD ST, CAMBRIDGE, MA 02140-1326
(781) 799-7598
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
154071
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0131610
—
MA
01
—
340018810
RR MEDICARE
MA
01
—
J23649
BCBS
MA
Enumeration date
07/11/2006
Last updated
02/04/2020
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