Madelena Michele Martin M.D.

NPI 1053539015 - Medical Genetics - 207SG0201X

NPI Details
NPI 1053539015
Gender Female
Enumeration Date 04/23/2007
Last Updated 08/03/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
55 LAKE AVE NORTH
WORCESTER MA, 01655, US
Phone (508) 856-3949
Fax
Business Location
55 LAKE AVE N
WORCESTER MA, 01655-0002, US
Phone (508) 856-3949
Fax
Toxanomy
Taxonomy Code 207SG0201X
License State Massachusetts
License Number 233551
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According to our database, Dr. Madelena Michele Martin M.D. NPI is 1053539015, taxonomy code is 207SG0201X and license number is 233551, license state is located at Massachusetts. Madelena Michele Martin M.D. physically located at 55 Lake Ave North, Worcester MA, 01655. NPI Number Madelena Michele Martin M.D. has the Individual type.

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1053539015 NPI number is provided on an as is basis without warranty of any kind. 1053539015 is maintained by the National Plan & Provider Enumeration System. The contents of Madelena Michele Martin M.D. are for informational purposes only.