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Individual

DR. MARTIN PAUL KAFKA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
22 MILL ST, SUITE #306, ARLINGTON, MA 02476-4784
(781) 643-0610
(781) 643-1609
Mailing address
80 BEAUMONT AVE, NEWTONVILLE, MA 02460-2330
(617) 964-1025

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
56419
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3021041
MA
01
JO2422
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/13/2005
Last updated
11/03/2010
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