Individual
CARLY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 PLEASANT ST, BRIDGEWATER, MA 02324-2472
(508) 697-8116
Mailing address
250 1ST AVE UNIT 532, CHARLESTOWN, MA 02129-4412
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2309864
MA
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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