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NPI Code Detail

MEDICARE: MS. MARTHA MARIE DUMAS MSW

MEDICARE: MS. MARTHA MARIE DUMAS MSW
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
11041C0700XClinical Social Worker1027796MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407949761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARTHA MARIE DUMAS MSW
Provider Business Mailing Address
First Line : 37 POMPANO RD
Second Line :
City : YARMOUTH PORT
State : MA
Zip : 02675-2059
Country : US
Telephone Number : 508-362-0383
Fax Number :
Provider Business Practice Location Address
First Line : 20 MAIN ST
Second Line : SUITE 300
City : NATICK
State : MA
Zip : 01760-4525
Country : US
Telephone Number : 508-655-9006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2006
Last Update Date : 07/08/2007

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