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Individual

MARTIN R. CORREA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10301 GEORGIA AVE STE 306, SILVER SPRING, MD 20902-5020
(013) 681-9670
(301) 681-6055
Mailing address
10301 GEORGIA AVE STE 306, SILVER SPRING, MD 20902-5020
(013) 681-9670
(301) 681-6055

Taxonomy

Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
D0088565
MD
207K00000X
Allergy & Immunology Physician
ME86090
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
265729500
FL
Enumeration date
04/13/2006
Last updated
04/02/2020
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