Individual
BRIAN M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-7149
(201) 833-6576
Mailing address
PO BOX 637729, CINCINNATI, OH 45263-7729
(201) 833-7149
(201) 833-6576
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA07836200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0079537
—
NJ
Enumeration date
08/12/2005
Last updated
09/17/2013
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