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Individual

GEOFFREY V MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
808 W DIAMOND AVE STE 650, GAITHERSBURG, MD 20878-1413
(240) 364-0900
Mailing address
25 CROSSROADS DR STE 306, OWINGS MILLS, MD 21117-5437

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
35.134191
OH
2085R0001X
Radiation Oncology Physician
Primary
D95725
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0298643
OH
05
7100551880
KY
Enumeration date
05/08/2013
Last updated
01/23/2025
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