Augusto Rafael Martinez, MD | |
465 S Washington St Unit 4, North Attleboro, MA 02760-2159 | |
(781) 562-0779 | |
Not Available |
Full Name | Augusto Rafael Martinez |
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Gender | Male |
Speciality | Pediatrics |
Location | 465 S Washington St Unit 4, North Attleboro, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639407679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME 53532 (Florida) | Secondary |
208000000X | Pediatrics | MD14410 (Rhode Island) | Secondary |
208000000X | Pediatrics | 70313 (Massachusetts) | Primary |
Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121026000023 |
Mailing Address | Practice Location Address |
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Augusto Rafael Martinez, MD 85 Grand St, Canton, MA 02021-1809 Ph: (305) 297-9083 | Augusto Rafael Martinez, MD 465 S Washington St Unit 4, North Attleboro, MA 02760-2159 Ph: (781) 562-0779 |
Kathryn M Hansen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 652 E Washington St Unit 2, North Attleboro, MA 02760 Phone: 508-576-5010 Fax: 508-213-3685 | |
Dr. Ioanna Barkas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 652 E Washington St Unit 2, North Attleboro, MA 02760 Phone: 508-576-5010 Fax: 508-213-3685 |