MEDICARE: ALISON S MARTIN 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	208000000X	Pediatrics Physician	228807	MA

General Provider Information

NPI Number	:	1740215888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALISON S MARTIN M.D.

Provider Business Mailing Address
First Line	:	29 WORCESTER SQ
Second Line	:	APARTMENT # 5
City	:	BOSTON
State	:	MA
Zip	:	02118-2914
Country	:	US
Telephone Number	:	978-557-5712
Fax Number	:

Provider Business Practice Location Address
First Line	:	820A TURNPIKE ST
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-6124
Country	:	US
Telephone Number	:	978-557-5712
Fax Number	:

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

Provider Enumeration Date	:	07/11/2006
Last Update Date	:	07/08/2007

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Directions to “ ALISON S MARTIN M.D.” Practice Location

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