| Augusto Rafael Martinez, MD | |
|
465 S Washington St Unit 4, North Attleboro, MA 02760-2159 | |
| (781) 562-0779 | |
| Not Available |
| Full Name | Augusto Rafael Martinez |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 465 S Washington St Unit 4, North Attleboro, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639407679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | ME 53532 (Florida) | Secondary |
| 208000000X | Pediatrics | MD14410 (Rhode Island) | Secondary |
| 208000000X | Pediatrics | 70313 (Massachusetts) | Primary |
| Entity Name | Lifespan Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407116643 PECOS PAC ID: 2567455082 Enrollment ID: O20121026000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Augusto Rafael Martinez, MD 85 Grand St, Canton, MA 02021-1809 Ph: (305) 297-9083 | Augusto Rafael Martinez, MD 465 S Washington St Unit 4, North Attleboro, MA 02760-2159 Ph: (781) 562-0779 |
Kathryn M Hansen, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 652 E Washington St Unit 2, North Attleboro, MA 02760 Phone: 508-576-5010 Fax: 508-213-3685 | |
Dr. Ioanna Barkas, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 652 E Washington St Unit 2, North Attleboro, MA 02760 Phone: 508-576-5010 Fax: 508-213-3685 |