Individual
PETER D MARTELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 675-1054
(508) 324-7777
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
53228
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0170160
—
MA
Enumeration date
01/18/2006
Last updated
06/10/2015
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