Martella, Mary

Martella, Mary is an individual health care provider with primary practice located at 41 Mall Rd Lahey Clinic, Burlington MA 01805-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martella, Mary can be contacted via phone (781) 744-8608.

Contact Information

Primary practice address
41 Mall Rd Lahey Clinic Burlington MA 01805-0001
Phone: (781) 744-8608
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 128779 Massachusetts

Profile Details

NPI number 1164498408
LBN Legal business name Martella, Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2006
Last updated Dec 10th, 2012 - about 12 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 1164498408 NPPES
Massachusetts MEDICAID 0705934

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