Organization
JEFFREY E MARTIN MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY E MARTIN MD (OWNER AND PROVIDER)
(207) 892-7055
Entity
Organization
Contact information
Practice address
744 ROOSEVELT TRL, WINDHAM, ME 04062-5282
(207) 892-7055
(207) 893-1215
Mailing address
4 SCAMMAN ST SUITE 19, PMB 2700, SACO, ME 04072
(207) 892-7055
(207) 893-1215
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116530000
—
ME
01
—
M746
CIGNA
ME
Enumeration date
01/16/2007
Last updated
05/26/2008
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