Individual
MARTINA LOUISE GALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1240 S CEDAR CREST BLVD STE 308, ALLENTOWN, PA 18103-6370
(610) 402-1350
Mailing address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(610) 402-1350
(610) 402-9799
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA063122
PA
363AM0700X
Medical Physician Assistant
Primary
MA063122
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA063122
STATE LICENSE
PA
Enumeration date
12/28/2021
Last updated
07/18/2025
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