Individual
ELIAS ENRIQUE MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(509) 301-0315
Mailing address
33 POND AVE APT 409, BROOKLINE, MA 02445-7155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA100665
MA
Other
Enumeration date
04/05/2024
Last updated
08/19/2024
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