Individual
DUSAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 SW 160TH AVE, SUITE 250, MIRAMAR, FL 33027-6308
(877) 866-7123
Mailing address
2201 HEMPSTEAD TPKE, NASSAU UNIVERSITY MEDICAL CENTER, EAST MEADOW, NY 11554-1859
(516) 572-5207
(516) 572-4862
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
265530-1
NY
208600000X
Surgery Physician
Primary
265530
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2008
Last updated
06/04/2019
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