Individual
MARTIN A. EIDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3432 HOLLAND RD, VIRGINIA BEACH, VA 23452-4846
(757) 468-1855
Mailing address
PO BOX 758963, BALTIMORE, MD 21275-8963
(804) 822-4355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101033447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110187592
RAIL ROAD MEDICARE NUMBER
VA
05
—
5821029
—
VA
Enumeration date
04/19/2006
Last updated
10/23/2012
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