Dr. Richard J Martin
Oral & Maxillofacial Surgeon Plastic and Reconstructive Surgery
159 Sachem St
Norwich
, Connecticut 06360-4144
Dr. Richard J Martin
Oral & Maxillofacial Surgeon Plastic and Reconstructive Surgery
159 Sachem St
Norwich
, Connecticut 06360-4144
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About
Features
Specialties
- Oral & Maxillofacial Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Richard J Martin
- 159 Sachem St
- Norwich, CT
- Zip : 06360-4144
- Phone :
Second Address
- Dr. Richard J Martin
- 159 Sachem St
- Norwich, CT
- Zip : 06360-4144
- Phone : (860) 885-0444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204E00000X | Oral & Maxillofacial Surgeon | 007905 | CT |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 036472 | CT |
National Provider Identifier
| NPI | 1336133446 |
|---|---|
| Provider Name | Dr. Richard J Martin |
| First Address | Norwich, CT 06360-4144 |
| Second Address | Norwich, CT 06360-4144 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/09/2005 |
| Last Update Date | 01/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| HO6445 | (02) | CT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.