Provider Demographics
NPI:1326004524
Name:CAREY, MARTIN CONRAD (MD DSC)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:CONRAD
Last Name:CAREY
Suffix:
Gender:M
Credentials:MD DSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 FRANCIS ST THORN 14
Mailing Address - Street 2:BRIGHAM AND WOMENS HOSPITAL GASTROENTEROLOGY DIV
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-5822
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS ST THORN 14
Practice Address - Street 2:BRIGHAM AND WOMENS HOSPITAL GASTROENTEROLOGY DIV
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:617-732-5822
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA37657207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology