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Individual
DR. GERARD R MARTY
Active
Individual
DR. GERARD R MARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036074683
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01634499
BCBS
IL
05
—
0360746831
—
IL
Enumeration date
11/09/2005
Last updated
06/11/2014
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