Individual
NEIL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8800
(978) 557-8633
Mailing address
500 MERRIMACK ST, LAWRENCE, MA 01843-1756
(978) 557-8800
(978) 557-8633
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49241
MA
207P00000X
Emergency Medicine Physician
7129
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0108876Y0NH01
ANTHEM
NH
05
—
0112771
—
MA
05
—
295300099
—
ME
05
—
30201081
—
NH
01
—
930100689
RAILROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
11/26/2014
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