Individual
MICHAEL MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1504 SULLIVAN AVE, SOUTH WINDSOR, CT 06074-2711
(860) 644-1523
(860) 648-9468
Mailing address
PO BOX 3136, VERNON, CT 06066-2036
(860) 896-1422
(860) 896-1425
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
018063
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010018083CT02
ANTHEM
CT
01
—
018083
CTCARE
CT
05
—
1952364341
—
CT
01
—
P00087818
MEDICARE RAILROAD
CT
Enumeration date
04/08/2006
Last updated
06/07/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us