Individual
MARTIN J WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 364-4380
(617) 298-2517
Mailing address
2100 DORCHESTER AVE, DORCHESTER CENTER, MA 02124-5615
(617) 364-4380
(617) 298-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
52959
MA
208600000X
Surgery Physician
Primary
52959
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6188958
—
MA
Enumeration date
09/20/2005
Last updated
10/24/2011
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