Provider Demographics
NPI:1427016492
Name:KAFINA, MARTIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:J
Last Name:KAFINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:MARTIN
Other - Middle Name:J
Other - Last Name:KAFINA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:59 ORNAC
Mailing Address - Street 2:SUITE 2
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742
Mailing Address - Country:US
Mailing Address - Phone:978-287-0700
Mailing Address - Fax:978-369-0250
Practice Address - Street 1:59 OLD ROAD TO 9 ACRE COR STE 2
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:MA
Practice Address - Zip Code:01742-3317
Practice Address - Country:US
Practice Address - Phone:978-287-0700
Practice Address - Fax:978-369-0250
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74670207RR0500X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA660001314OtherRAILROAD MEDICARE
MAE36457Medicare UPIN
MAJ11324Medicare PIN