Individual
DR. MARTIN GAYNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
139 SANDWICH ST, PLYMOUTH, MA 02360-2449
(508) 747-5900
Mailing address
139 SANDWICH ST, PLYMOUTH, MA 02360-2449
(508) 747-5900
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
30901
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0198927
—
MA
Enumeration date
11/27/2006
Last updated
03/11/2008
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