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Contact Information

KELSEY T MARTIN, MD
240 INDIAN RIVER RD STE A1
ORANGE, CT06477-3690
 Phone: 203-795-1664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KELSEY T MARTIN · (Female)

NPI # 1467763946
Status Active
Credentials MD
Entity Individual
Enumeration date 06/29/2010
Last updated 10/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 62011
  • NY License # 270677
Hospital affiliation(s)
  • BRIDGEPORT HOSPITAL - (Acute Care)
    267 GRANT STREET
    BRIDGEPORT, CT 06610
  • YALE-NEW HAVEN HOSPITAL - (Acute Care)
    20 YORK ST
    NEW HAVEN, CT 06504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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