MEDICARE: PAULA 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	2084P0800X	Psychiatry Physician	81564	MA

General Provider Information

NPI Number	:	1710181052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA MARTIN M.D.

Provider Business Mailing Address
First Line	:	235 CYPRESS ST STE 1B
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02445-6776
Country	:	US
Telephone Number	:	617-697-5183
Fax Number	:	617-604-4584

Provider Business Practice Location Address
First Line	:	235 CYPRESS ST STE 1B
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02445-6776
Country	:	US
Telephone Number	:	617-697-5183
Fax Number	:	617-604-4584

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

Provider Enumeration Date	:	06/12/2007
Last Update Date	:	01/27/2024

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