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General NPI Number Information
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NPI Number | 1396739231
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Entity Type | Individual
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Provider Name | LUZ M. MARTIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 11/21/2013
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Provider Practice Location Address
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Address Line | 299 CAREW ST SUITE NUMBER 300
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-739-7680
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Fax | 413-739-6599
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Provider Business Mailing Address
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Address Line | 299 CAREW ST SUITE NUMBER 300
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City | SPRINGFIELD
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State | MA
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Zip | 01104-2301
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Country | US
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Telephone | 413-739-7680
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Fax | 413-739-6599
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 77442
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License Number State | MA
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