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Individual
DR. PAUL A MARTIN
Active
Individual
DR. PAUL A MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34002694M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000227892
UNICARE
OH
01
—
0120333
UNITED HEALTHCARE
OH
05
—
0486782
—
OH
01
—
080191708
RAILROAD MEDICARE
OH
01
—
34002694M
MEDICAL LICENSE
OH
01
—
421534506031
CARESOURCE
OH
01
—
660537
AETNA
OH
01
—
D0269405
HUMANA/CHOICECARE
OH
Enumeration date
06/01/2005
Last updated
12/03/2013
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