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Individual
ALYSSA MARTIN
Active
Individual
ALYSSA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
OA004442
PA
363A00000X
Physician Assistant
Primary
PA70063091
WA
363AM0700X
Medical Physician Assistant
25MP00504000
NJ
363AM0700X
Medical Physician Assistant
C110000025
DE
363AM0700X
Medical Physician Assistant
MA059701
PA
Other
Enumeration date
04/13/2018
Last updated
01/15/2026
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