MEDICARE: DR. MARTHA L EHRMANN 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	207V00000X	Obstetrics & Gynecology Physician	80779	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	131154	OTHER	MA	HARVARD PILGRIM
2	J16439	OTHER	MA	BLUE CROSS BLUE SHIELD
3	080779	OTHER	MA	TUFTS HEALTH PLAN
4	0017036	OTHER	MA	NEIGHBORHOOD HEALTH PLAN

General Provider Information

NPI Number	:	1639145428
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTHA L EHRMANN M.D.

Provider Business Mailing Address
First Line	:	173 WORCESTER ST
Second Line	:	SUITE 3
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-5521
Country	:	US
Telephone Number	:	781-237-2430
Fax Number	:	781-237-0291

Provider Business Practice Location Address
First Line	:	173 WORCESTER ST
Second Line	:	SUITE 3
City	:	WELLESLEY HILLS
State	:	MA
Zip	:	02481-5521
Country	:	US
Telephone Number	:	781-237-2430
Fax Number	:	781-237-0291

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

Provider Enumeration Date	:	02/23/2006
Last Update Date	:	09/26/2014

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