Individual
RICHARD T MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 MEDICAL CENTER DR, STE 309, SPRINGFIELD, MA 01107-1270
(413) 794-5363
(413) 794-4520
Mailing address
280 CHESTNUT ST, 2ND FLOOR, SPRINGFIELD, MA 01199-1001
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
224087
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000030891
BOSTON HEALTHNET
—
01
—
042490038
AETNA
—
01
—
224087
CONNECTICARE
—
01
—
36375
HNE
—
01
—
470340
TUFTS
—
01
—
J28981
BCBS OF MA PPO
MA
01
—
J28981
BCBS OUT OF STATE
—
01
—
SS34124
HARVARD PILGRIM
—
Enumeration date
04/18/2006
Last updated
12/16/2016
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