Individual
PHILIP ROBERT MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, MSN
Contact information
Practice address
800 HOWARD AVE, YALE PHYSICIANS BLDG, NEW HAVEN, CT 06519-1369
(203) 785-2140
(203) 785-6414
Mailing address
PO BOX 9805, 300 GEORGE ST 6TH FLR, NEW HAVEN, CT 06536-0805
(203) 785-7998
(203) 785-6414
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
003547
CT
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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