Dyer, Martha Welch

Dyer, Martha Welch is an individual health care provider with primary practice located at 55 Fruit St Grb 1100, Boston MA 02114-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Dyer, Martha Welch can be contacted via phone (857) 238-3838.

Contact Information

Primary practice address
55 Fruit St Grb 1100 Boston MA 02114-2696
Phone: (857) 238-3838
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 154071 Massachusetts

Profile Details

NPI number 1356376453
LBN Legal business name Dyer, Martha Welch
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Feb 4th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356376453 NPPES
Massachusetts Other 340018810 RR MEDICARE
Massachusetts Other J23649 RR MEDICARE
Massachusetts MEDICAID 0131610 RR MEDICARE

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