Individual
DR. JOSEPH JEEVENDRA A. MARTYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
51 BLOSSOM ST, BOSTON, MA 02114-2601
(617) 726-8807
(617) 371-4821
Mailing address
PO BOX 9142, CHARLSTOWN, MA 02129-9142
(617) 726-8807
(617) 371-4821
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
38948
MA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
38948
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2095637
—
MA
01
—
712508
TUFTS HEALTH PLAN
MA
01
—
J02457
BCBS MA
MA
Enumeration date
02/09/2006
Last updated
10/27/2020
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