Individual
ELLA M MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 W BALTIMORE ST, BALTIMORE, MD 21223-1558
(410) 362-3000
Mailing address
3501 SAINT PAUL ST, APT 244, BALTIMORE, MD 21218-2703
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
C01410
MD
Other
Enumeration date
02/08/2006
Last updated
01/03/2020
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