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Provider Information for 1205880614

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. MARTHA C. SOLA-VISNER M.D.

Other Name:   MARTHA SOLA
Gender: FEMALE

Individual NPI: 1205880614

Calendar   Last Updated:  2008-01-07
  Certification Date: 

Details

Name Value
NPI 1205880614
Enumeration Date 2006-05-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 79 FALCON ST
NEEDHAM, MA 02492-4045
United States

Phone: 352-219-2707 | Fax: 617-730-0260
View Map External Link
Primary Practice Address 300 LONGWOOD AVE ENDERS RESEARCH BUILDING, RM. 961
BOSTON, MA 02115-5724
United States

Phone: 617-919-4845 | Fax: 617-730-0260
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID PA 1014982660001
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080N0001X - Pediatrics Neonatal-Perinatal Medicine MA 233282