MEDICARE: MR. WILLIAM EUGENE MARTIN III LAC

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	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1659244366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. WILLIAM EUGENE MARTIN III LAC

Provider Business Mailing Address
First Line	:	511 PARK AVE APT 3
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01603-2534
Country	:	US
Telephone Number	:	207-295-3984
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 WORCESTER PROVIDENCE TPKE
Second Line	:
City	:	SUTTON
State	:	MA
Zip	:	01590-2902
Country	:	US
Telephone Number	:	508-865-5068
Fax Number	:

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

Provider Enumeration Date	:	09/29/2025
Last Update Date	:	10/24/2025

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