Provider Demographics
NPI:1154328490
Name:MARTINEZ, FRANCIS ESCALONA (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:ESCALONA
Last Name:MARTINEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:7 WOODCREST LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2208
Mailing Address - Country:US
Mailing Address - Phone:413-532-0979
Mailing Address - Fax:413-540-5049
Practice Address - Street 1:2 HOSPITAL DRIVE
Practice Address - Street 2:SUITE 203
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040
Practice Address - Country:UM
Practice Address - Phone:413-540-5048
Practice Address - Fax:413-540-5049
Is Sole Proprietor?:No
Enumeration Date:2005-07-01
Last Update Date:2012-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-30843208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200304210CMedicaid
KS104253Medicare ID - Type Unspecified
KS200304210CMedicaid