Individual
ANDREW JAMES MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
470 GRANBY RD, SOUTH HADLEY, MA 01075-3218
(413) 794-8700
(413) 794-8732
Mailing address
280 CHESTNUT ST FL 2, SPRINGFIELD, MA 01104-3563
(413) 794-5700
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA4004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093033
NCCPA
—
01
—
PA4004
MASSACHUSETTS BOARD OF REGISTRATION OF PHYSICIAN ASSISTANTS
MA
Enumeration date
06/29/2010
Last updated
08/20/2025
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