Individual
DR. THOMAS ELLSWORTH MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1020 N PROVIDENCE RD, MEDIA, PA 19063-2101
(610) 565-9426
(610) 565-8982
Mailing address
1020 N PROVIDENCE RD, MEDIA, PA 19063-2101
(610) 565-9426
(610) 565-8982
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
5118
PA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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