Martina M. Martin
Rheumatology
160 Lakeside Ln
Media
, Pennsylvania 19063-2074
Martina M. Martin
Rheumatology
160 Lakeside Ln
Media
, Pennsylvania 19063-2074
(610) 359-9839
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About
Features
Specialties
- Rheumatology
Languages spoken
- English
Location
First Address
- Martina M. Martin
- 160 Lakeside Ln
- Media, PA
- Zip : 19063-2074
- Fax : (610) 359-9839
- Phone : (610) 359-9839
Second Address
- Martina M. Martin
- 160 Lakeside Ln
- Media, PA
- Zip : 19063-2074
- Fax : (610) 359-9839
- Phone : (610) 359-9839
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RR0500X | Rheumatology | MD010999E | PA |
National Provider Identifier
| NPI | 1134450836 |
|---|---|
| Provider Name | Martina M. Martin |
| First Address | Media, PA 19063-2074 |
| Second Address | Media, PA 19063-2074 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2010 |
| Last Update Date | 19/01/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.