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Individual

DR. ROBERT W MARTIN

Active
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Individual

DR. ROBERT W MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
008117E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0007399160001
PA
01
01031901
CAPITAL BLUE CROSS PROV#
PA
01
0527871001
CIGNA PROVIDER NUMBER
PA
01
30813
GEISINGER HEALTHPLAN PROV
PA
01
695233
AETNA US HEALTHCARE PROVI
PA
01
859628
BLUE SHIELD PROVIDER #
PA
Enumeration date
06/08/2005
Last updated
03/12/2013
About Stedi
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