Martin, Thomas Joseph

Martin, Thomas Joseph is an individual health care provider with primary practice located at 111 Founders Plz #300 C/O Ipms, East Hartford CT 06108-3212. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Martin, Thomas Joseph can be contacted via phone (860) 282-4137.

Contact Information

Primary practice address
111 Founders Plz #300 C/O Ipms East Hartford CT 06108-3212
Fax: (860) 282-0170
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 032121 Connecticut

Profile Details

NPI number 1356336721
LBN Legal business name Martin, Thomas Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 17th, 2021 - about 5 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 1356336721 NPPES
Connecticut MEDICAID 001321215

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