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Individual
R. MARTIN KNOWLTON
Active
Individual
R. MARTIN KNOWLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NY
363AS0400X
Surgical Physician Assistant
000488
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276535
—
NY
Enumeration date
07/31/2006
Last updated
03/16/2012
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