Healthcare Provider Details

I. General information

NPI: 1194731901
Provider Name (Legal Business Name): MARTA KUZMIAK M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

METROWEST MEDICAL CENTER 115 LINCOLN STREET
FRAMINGHAM MA
01702
US

IV. Provider business mailing address

214 WINTER ST
WESTON MA
02493-1039
US

V. Phone/Fax

Practice location:
  • Phone: 508-383-1104
  • Fax:
Mailing address:
  • Phone: 508-383-1104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number75371
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: