Individual
NICHOL STEPHEN MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3400 SPRUCE STREET, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 349-5915
Mailing address
3400 SPRUCE STREET, 3 DULLES BUILDING, PHILADELPHIA, PA 19104-4206
(215) 349-8222
(215) 349-5915
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD472914
PA
Other
Enumeration date
03/31/2014
Last updated
09/10/2021
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