Individual
MARTIN Y MAGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3611 GARDENVIEW RD, BALTIMORE, MD 21208-1511
(301) 733-1031
Mailing address
3611 GARDENVIEW RD, BALTIMORE, MD 21208-1511
(301) 733-1031
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
D15540
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
789581000
—
MD
Enumeration date
09/21/2006
Last updated
10/30/2014
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