Organization
GARNET VALLEY SPORT & SPINE PHYSICAL MEDICINE, INC.
Active
Organization
GARNET VALLEY SPORT & SPINE PHYSICAL MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY MARTIN D.C. (OWNER)
(610) 361-0070
Entity
Organization
Contact information
Practice address
3039 FOULK RD, GARNET VALLEY, PA 19060-1701
(610) 361-0070
(610) 361-0071
Mailing address
3039 FOULK RD, GARNET VALLEY, PA 19060-1701
(610) 361-0070
(610) 361-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS-008262-L
PA
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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