Williams, Martin J

Williams, Martin J is an individual health care provider with primary practice located at 2100 Dorchester Ave , Dorchester Center MA 02124-5615. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Williams, Martin J can be contacted via phone (617) 364-4380.

Contact Information

Primary practice address
2100 Dorchester Ave Dorchester Center MA 02124-5615
Phone: (617) 364-4380
Fax: (617) 298-2517
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52959 Massachusetts
Allopathic & Osteopathic Physicians / Surgery 208600000X 52959 Massachusetts

Profile Details

NPI number 1851386429
LBN Legal business name Williams, Martin J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Oct 24th, 2011 - about 13 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 1851386429 NPPES
Massachusetts MEDICAID 6188958

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