MEDICARE: DR. MARTIN L. ALBERT M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	29241	MA
2	2084P0805X	Geriatric Psychiatry Physician	29241	MA
3	209800000X	Legal Medicine (M.D./D.O.) Physician	29241	MA

General Provider Information

NPI Number	:	1093798852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN L. ALBERT M.D.

Provider Business Mailing Address
First Line	:	19 WYMAN ST
Second Line	:
City	:	WABAN
State	:	MA
Zip	:	02468-1516
Country	:	US
Telephone Number	:	617-969-7745
Fax Number	:	617-969-7746

Provider Business Practice Location Address
First Line	:	19 WYMAN ST
Second Line	:
City	:	WABAN
State	:	MA
Zip	:	02468-1516
Country	:	US
Telephone Number	:	617-969-7745
Fax Number	:	617-969-7746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2005
Last Update Date	:	09/11/2025

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