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NPI Code Detail

MEDICARE: MARTHA LAW DO

MEDICARE: MARTHA LAW DO
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
1156FX1800XOptician6242MA

General Provider Information

NPI Number : 1902206360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA LAW DO
Provider Business Mailing Address
First Line : 542 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5812
Country : US
Telephone Number : 978-975-3435
Fax Number : 978-685-6641
Provider Business Practice Location Address
First Line : 542 TURNPIKE ST
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-5812
Country : US
Telephone Number : 978-975-3435
Fax Number : 978-685-6641
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2014
Last Update Date : 09/03/2014

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Directions to “ MARTHA LAW DO” Practice Location

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