Individual
ANDREW MARTINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 444-4779
Mailing address
117 ELLENFIELD ST STE 101, PROVIDENCE, RI 02905-4541
(401) 444-6779
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
283114
MA
2084P0800X
Psychiatry Physician
Primary
MD17927
RI
Other
Enumeration date
03/23/2016
Last updated
09/14/2021
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