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Individual
JOHN ALBERT MARTY JR.
Active
Individual
JOHN ALBERT MARTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002620-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009748630002
—
PA
Enumeration date
05/04/2006
Last updated
06/28/2012
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