Provider Demographics
NPI:1235007980
Name:MARTIN, BRIDGET EFUA (MPH)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:EFUA
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2803 NICHOLSON ST APT 102
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-2804
Mailing Address - Country:US
Mailing Address - Phone:202-367-5408
Mailing Address - Fax:
Practice Address - Street 1:617 COMSTOCK RD STE 5
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-8498
Practice Address - Country:US
Practice Address - Phone:802-306-1680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)