Individual
NEIL A. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-3075
(570) 271-6437
(570) 271-6663
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
G39657
CA
207T00000X
Neurological Surgery Physician
Primary
MD460414
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G396570
—
CA
Enumeration date
01/25/2007
Last updated
07/21/2022
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