Search › Massachusetts › 363A00000X
Jacob Martin
NPI 1275342701 · on the registry since 2024 · sole proprietor
Practice
- Address
- 55 Fruit St # 1500
Boston, MA 02114 - Phone
- (401) 269-1169
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 390200000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts