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Individual

DR. MELISSA ROSE MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1700 S BROAD ST, SUITE #301, PHILADELPHIA, PA 19145-2315
(215) 467-5870
Mailing address
3401 CIVIC CENTER BLVD, 9NW63, PHILADELPHIA, PA 19104-4319
(215) 590-1220
(215) 590-2768

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD457832
PA
208000000X
Pediatrics Physician
MT203779
PA

Other

Enumeration date
06/07/2013
Last updated
08/04/2016
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