Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251C2600X | Cardiopulmonary | 6566 | MA |
NPI | 1831218403 |
---|---|
Provider Name | Dr. Martha Joan Garlick |
First Address | Somerville, MA 02144-2108 |
Second Address | Somerville, MA 02144-2108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2007 |
Last Update Date | 08/07/2007 |