Martyn, Joseph Jeevendra A.

Martyn, Joseph Jeevendra A. is an individual health care provider with primary practice located at 51 Blossom St , Boston MA 02114-2601. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Martyn, Joseph Jeevendra A. can be contacted via phone (617) 726-8807.

Contact Information

Primary practice address
51 Blossom St Boston MA 02114-2601
Phone: (617) 726-8807
Fax: (617) 371-4821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 38948 Massachusetts
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 38948 Massachusetts

Profile Details

NPI number 1457324550
LBN Legal business name Martyn, Joseph Jeevendra A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Oct 27th, 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 1457324550 NPPES
Massachusetts Other J02457 BCBS MA
Massachusetts MEDICAID 2095637 BCBS MA
Massachusetts Other 712508 BCBS MA

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