Provider Demographics
NPI:1578628822
Name:MARTIN J KAFINA MD FACP FACR
Entity Type:Organization
Organization Name:MARTIN J KAFINA MD FACP FACR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAFINA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:978-287-0700
Mailing Address - Street 1:59 OLD ROAD TO 9 ACRE COR STE 2
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:MA
Mailing Address - Zip Code:01742-3317
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA74670207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3079091Medicaid
MA3079091Medicaid
MAJ11324Medicare ID - Type Unspecified