Individual
GINA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7 ALFRED ST, WOBURN, MA 01801-1976
(781) 933-6236
Mailing address
99 VALE ST, TEWKSBURY, MA 01876-1535
(781) 983-8992
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN2294273
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2294273
MA
Other
Enumeration date
02/28/2022
Last updated
09/10/2024
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