Individual
DR. HOWARD DOUGLAS MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 LIBERTY ST, BROCKTON, MA 02301-5521
(508) 894-0400
(508) 894-0757
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 894-0757
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
53783
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
712792
TUFTS
MA
01
—
J03982
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/18/2006
Last updated
08/31/2015
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