Michelle C Martin, MD | |
1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | |
(857) 203-6200 | |
Not Available |
Full Name | Michelle C Martin |
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Gender | Female |
Speciality | Surgery - Vascular Surgery |
Location | 1400 Vfw Pkwy, West Roxbury, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881878148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 233183 (Massachusetts) | Secondary |
2086S0129X | Surgery - Vascular Surgery | 233183 (Massachusetts) | Primary |
Entity Name | Signature Healthcare Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508804949 PECOS PAC ID: 7719876267 Enrollment ID: O20040312000372 |
Mailing Address | Practice Location Address |
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Michelle C Martin, MD 6 Summer Ln, Wayland, MA 01778-2927 Ph: (617) 833-5413 | Michelle C Martin, MD 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 Ph: (857) 203-6200 |
Dr. Sarah Carlson, MD, MSC Surgery Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy # 1c-105, West Roxbury, MA 02132 Phone: 857-203-6200 | |
Michael B Yaffe, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1 Chesbrough Rd, West Roxbury, MA 02132 Phone: 617-452-2103 | |
John Samuel Sapirstein, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 617-323-7700 | |
Dr. Jason Samuel Gold, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, Surgical Service (112), West Roxbury, MA 02132 Phone: 857-203-6200 Fax: 857-203-5738 | |
Vivian M Sanchez, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy # S112, Va Boston Healthcare System, West Roxbury, MA 02132 Phone: 857-203-6200 | |
Dr. Kamal Mf Itani, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 857-203-6205 Fax: 857-202-5549 | |
Dr. Daniel Craig Wiener, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1400 Vfw Pkwy, West Roxbury, MA 02132 Phone: 857-203-6202 |