Individual
MRS. MARJORIE TROTTER MARTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6140
(617) 632-5168
Mailing address
450 BROOKLINE AVE, BOSTON, MA 02215-5450
(617) 632-6140
(617) 632-5168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405
STATE LICENSE
MA
Enumeration date
02/18/2008
Last updated
01/10/2024
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