Doctor Name: | MR. CHRISTOPHER MARTIN |
NPI Number: | 1346521234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CNIM, R.EP.T. |
License Number: | 213 |
Business Practice Address: | 1 Madigan Ln Ayer, MA - 014321164 |
Business Phone Number: | 9788769992 |
Business Fax Number: | |
Mailing Address: | Po Box 941, RYE |
State: | NY |
Postal Code: | 105800941 |
Phone Number: | 9788769992 |
Fax Number: | |
NPI Enumeration Date: | 09/06/2011 |
NPI Last Update Date: | 09/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246ZE0600X |
License Number: | 213 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Specialist/Technologist, Other |
Taxonomy Specialization: | Electroneurodiagnostic |
Taxonomy Definition: |