Individual
DR. MICHAEL RICHARD MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
215 TOLL GATE RD, SUITE 306, WARWICK, RI 02886-4458
(401) 738-6565
(401) 738-6599
Mailing address
4 DOGWOOD DR, COVENTRY, RI 02816-6650
(401) 821-7870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00512
RI
Other
Enumeration date
12/19/2006
Last updated
10/10/2007
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