Individual
DR. THOMAS J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360
(800) 243-1455
Mailing address
PO BOX 858, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
72285
WI
208000000X
Pediatrics Physician
MD027820L
PA
2080S0010X
Pediatric Sports Medicine Physician
MD027820L
PA
208M00000X
Hospitalist Physician
MD027820L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006915270007
—
PA
01
—
002673
FIRST PRIORITY HEALTH
PA
01
—
014648
HIGHMARK BLUE SHIELD
PA
01
—
159
GEISINGER HEALTH PLAN
PA
01
—
2517527
UNITEDHEALTHCARE
PA
01
—
5373568
AETNA
PA
01
—
D68464
HEALTHAMERICA
PA
Enumeration date
03/09/2006
Last updated
12/02/2019
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