Individual
DR. THOMAS R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-1900
(617) 730-0240
Mailing address
11 WASHBURN AVE, AUBURNDALE, MA 02466-1610
(617) 335-2238
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
56421
MA
2080P0214X
Pediatric Pulmonology Physician
Primary
56421
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3010724
—
MA
Enumeration date
10/14/2006
Last updated
04/14/2020
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