Individual
DR. CARLA M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 444-0570
(401) 444-0427
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 780-2511
(401) 780-2565
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD10551
RI
208000000X
Pediatrics Physician
MD10551
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CM36051
—
RI
Enumeration date
12/08/2005
Last updated
04/28/2021
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