Provider Demographics
NPI:1609834662
Name:MARTORELL, CLAUDIA T (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:T
Last Name:MARTORELL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 MULBERRY ST.
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105
Mailing Address - Country:US
Mailing Address - Phone:413-747-5566
Mailing Address - Fax:413-747-5666
Practice Address - Street 1:57 MULBERRY ST.
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105
Practice Address - Country:US
Practice Address - Phone:413-747-5566
Practice Address - Fax:413-747-5666
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA216851207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110070818AMedicaid
MA2060701Medicaid
MA2060701Medicaid
MA110070818AMedicaid