Provider Demographics
NPI:1639145428
Name:EHRMANN, MARTHA L (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:L
Last Name:EHRMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:173 WORCESTER ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:WELLESLEY HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02481-5521
Mailing Address - Country:US
Mailing Address - Phone:781-237-2430
Mailing Address - Fax:781-237-0291
Practice Address - Street 1:173 WORCESTER ST
Practice Address - Street 2:SUITE 3
Practice Address - City:WELLESLEY HILLS
Practice Address - State:MA
Practice Address - Zip Code:02481-5521
Practice Address - Country:US
Practice Address - Phone:781-237-2430
Practice Address - Fax:781-237-0291
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2014-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA80779207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA131154OtherHARVARD PILGRIM
MAJ16439OtherBLUE CROSS BLUE SHIELD
MA080779OtherTUFTS HEALTH PLAN
MA0017036OtherNEIGHBORHOOD HEALTH PLAN
MAA20614Medicare ID - Type Unspecified
MA080779OtherTUFTS HEALTH PLAN