Individual
MR. MARTINEZ MCKEITHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HS1
Contact information
Practice address
120 WOODWARD AVE, COMMANDER USCG SECTOR LONG ISLAND SOUND, NEW HAVEN, CT 06512-3628
(203) 468-4593
(203) 468-4483
Mailing address
120 WOODWARD AVE, COMMANDER USCG SECTOR LONG ISLAND SOUND, NEW HAVEN, CT 06512
(203) 468-4593
(203) 468-4483
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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