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Organization
NIKKI MARTIN, M.D., INC.
Active
Organization
NIKKI MARTIN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKKI LYNN MARTIN M.D. (PRESIDENT)
(510) 467-9156
Entity
Organization
Contact information
Practice address
2001 DWIGHT WAY, BERKELEY, CA 94704-2608
(510) 204-4405
(510) 204-4046
Mailing address
1 BAYWOOD AVE, SUITE 7, SAN MATEO, CA 94402-1523
(650) 344-6961
(650) 344-6604
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A035728
CA
207R00000X
Internal Medicine Physician
A035728
CA
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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