NPI 1063570646

Craig Martin, MD

Practitioner Psychiatry Physician Mansfield Center, CT

Practice location

Address: 189 Storrs Rd, Mansfield Center, CT 06250-1683
Phone: (860) 456-1311
Fax: (860) 450-0165
Mailing address: Tyler Avenue, Groton, CT 06340

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 41480 (CT)

Other Psychiatry & Neurology providers in Connecticut →

Registry record

NPI: 1063570646
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.