Individual
DR. ROBERT HARRELL MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6040 CASTLE COAKLEY, CHRISTIANSTED, VI 00820-5343
(340) 998-2404
Mailing address
6040 CASTLE COAKLEY, CHRISTIANSTED, VI 00820-5343
(340) 998-2404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C8369
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123419001
—
AR
01
—
5J056
BCBS
AR
Enumeration date
08/01/2006
Last updated
12/10/2021
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