Martin, David T
Martin, David T is an individual health care provider with primary practice located at 41 Mall Road Lahey Clinic, Inc., Burlington MA 01805-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Martin, David T can be contacted via phone (781) 744-5100.Contact Information
Primary practice address
41 Mall Road Lahey Clinic, Inc.
Burlington MA 01805-0001
Phone: (781) 744-5100
Fax: (781) 744-5261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 71280 | Massachusetts |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 71280 | Massachusetts |
Profile Details
| NPI number | 1215971692 |
|---|---|
| LBN Legal business name | Martin, David T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | May 23rd, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215971692 | NPPES |
| Massachusetts | Other | 71280 | MEDICAL LICENSE NUMBER |
| Massachusetts | MEDICAID | 110050724A | MEDICAL LICENSE NUMBER |
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