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Individual
LAURA YOUNG MARTIN
Active
Individual
LAURA YOUNG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1111111
MD
2086S0120X
Pediatric Surgery Physician
25MA11202600
NJ
2086S0120X
Pediatric Surgery Physician
Primary
311168
NY
Other
Enumeration date
04/23/2012
Last updated
04/14/2022
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