Organization
DAVID J MARTINI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J MARTINI MD (PRESIDENT)
(978) 744-2182
Entity
Organization
Contact information
Practice address
79 HIGHLAND AVE, SUITE 3, SALEM, MA 01970-2711
(978) 744-2182
(978) 741-7667
Mailing address
460 TOTTEN POND RD, C/O MZI, WALTHAM, MA 02451-1991
(781) 890-9933
(781) 890-9950
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
39883
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2058162
—
MA
01
—
705904
TUFTS
MA
01
—
8913
HPHC
MA
01
—
M09597
BCBS
MA
Enumeration date
10/19/2005
Last updated
08/22/2020
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