# MARTIN ORTHOPAEDIC & WELLNESS GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARTIN ORTHOPAEDIC & WELLNESS GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1265112692
- **Legal business name:** MARTIN ORTHOPAEDIC & WELLNESS GROUP
- **Authorized official:** JABARI IAN JUSTIN MARTIN MD (OWNER)
- **Authorized official phone:** (443) 333-9667

## Contact information

- **Practice address:** 4255 ALTAMONT PL STE 201, WHITE PLAINS, MD 20695-3024
- **Practice address phone:** (443) 333-9667
- **Practice address fax:** (443) 339-4056
- **Mailing address:** 7525 GREENWAY CENTER DR STE 214, GREENBELT, MD 20770-3525
- **Mailing address phone:** (443) 333-9667
- **Mailing address fax:** (443) 339-4056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/20/2023
- **Last updated:** 07/20/2023