Martien, Katherine M

Martien, Katherine M is an individual health care provider with primary practice located at 1 Maguire Rd Lurie Center For Autism, Lexington MA 02421-3114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martien, Katherine M can be contacted via phone (781) 860-1700.

Contact Information

Primary practice address
1 Maguire Rd Lurie Center For Autism Lexington MA 02421-3114
Phone: (781) 860-1700
Fax: (781) 860-1766
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54511 Massachusetts

Profile Details

NPI number 1033109715
LBN Legal business name Martien, Katherine M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jan 18th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033109715 NPPES
Massachusetts MEDICAID 3058654
Massachusetts Other 054511
Massachusetts Other J09444

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