| Doctor Name: | DR. BRIAN C. MARTIN |
| NPI Number: | 1275638850 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 0101237045 |
| Business Practice Address: | 690 Canton St Suite 325 Westwood, MA - 020902321 |
| Business Phone Number: | 7814077713 |
| Business Fax Number: | 7814070998 |
| Mailing Address: | 690 Canton St, Ste 325 WESTWOOD |
| State: | MA |
| Postal Code: | 020902324 |
| Phone Number: | 7814077713 |
| Fax Number: | 7814070998 |
| NPI Enumeration Date: | 09/14/2006 |
| NPI Last Update Date: | 04/06/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 0101237045 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |