NPI

40 Martin Street Operator Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2017-06-08
Last updated
2017-06-08

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
40 Martin St
City
Melrose MA
Postal code
02176-3607
Phone
(781) 665-7050

Organization contact

Name
WILLIAM STEPHAN
Title
Chief Financial Officer
Phone
6179437747

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Melrose, MA. 622 records in the public file.

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