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Individual

MARTHA MORGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT

Contact information

Practice address
653 SUMMER ST, SECOND FLOOR, BOSTON, MA 02210-2108
(617) 269-6262
(617) 269-1068
Mailing address
6 LAWLER RD, MEDFORD, MA 02155-2131
(781) 483-9732

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11448
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
470119
TUFTS HEALTH PLAN
MA
01
603413
HARVARD PILGRIM
MA
01
6440025
UNITED HEALTH PLAN
MA
01
8211
NEIGHBORHOOD HEALTH PLAN
MA
01
Y68220
BLUE CROSS BLUE SHIELD
MA
Enumeration date
08/19/2006
Last updated
07/08/2007
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