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Individual

DR. ROBERT LAWRENCE MARTUZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 FRUIT ST, WHT 502 NEUROSURGERY MGH, BOSTON, MA 02114-2621
(617) 726-8581
(617) 726-4814
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
39007
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2068583
MA
01
701182
TUFTS HEALTH PLAN
MA
01
M09914
BCBS MA
MA
Enumeration date
10/26/2005
Last updated
07/08/2007
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