Niels Douglas Martin
Surgeon Trauma Surgeon Surgical Critical Care
51 N 39th St Medical Office Building, 1st Floor, Suite 120
Philadelphia
, Pennsylvania 19104
Niels Douglas Martin
Surgeon Trauma Surgeon Surgical Critical Care
51 N 39th St Medical Office Building, 1st Floor, Suite 120
Philadelphia
, Pennsylvania 19104
(215) 243-4605
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About
Features
Specialties
- Surgeon
- Surgical Critical Care
- Trauma Surgeon
Languages spoken
- English
Location
First Address
- Niels Douglas Martin
- 51 N 39th St Medical Office Building, 1st Floor, Suite 120
- Philadelphia, PA
- Zip : 19104-2640
- Fax : (215) 243-4605
- Phone : (215) 662-7320
Second Address
- Niels Douglas Martin
- 51 N 39th St Medical Office Building, 1st Floor, Suite 120
- Philadelphia, PA
- Zip : 19104
- Fax : (215) 243-4605
- Phone : (215) 662-7320
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD420992 | PA |
| N | 208600000X | Surgeon | MD420992 | PA |
| N | 2086S0102X | Surgical Critical Care | MD420992 | PA |
| Y | 2086S0127X | Trauma Surgeon | MD420992 | PA |
National Provider Identifier
| NPI | 1013073477 |
|---|---|
| Provider Name | Niels Douglas Martin |
| First Address | Philadelphia, PA 19104-2640 |
| Second Address | Philadelphia, PA 19104 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2006 |
| Last Update Date | 06/11/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0125024 | (05) | NJ |
| 1018343780005 | (05) | PA |
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.