Individual
DR. GENE J MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS,MD
Contact information
Practice address
94 BRICK RD, WEST JERSEY MEDICAL PLAZA SUITE 100, MARLTON, NJ 08053-2179
(856) 596-9099
(856) 596-6715
Mailing address
94 BRICK RD, WEST JERSEY MEDICAL PLAZA SUITE 100, MARLTON, NJ 08053-2179
(856) 596-9099
(856) 596-6715
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DI020726
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8039704
—
NJ
Enumeration date
10/06/2005
Last updated
07/08/2007
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