Individual
DR. JOEL O'HARA MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
BS, DDS, MS
Contact information
Practice address
110 BERGEN ST, ROOM D-843, NEWARK, NJ 07103-2495
(973) 972-3367
(973) 972-0370
Mailing address
110 BERGEN STREET, PO BOX 1709, NEWARK, NJ 07101-1709
(973) 972-3367
(973) 972-0370
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
22DI01270300
NJ
Other
Enumeration date
04/20/2006
Last updated
07/08/2007
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