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Individual

LINDA D MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1408 S BROAD ST FL 2, PHILADELPHIA, PA 19146-4808
(215) 755-0700
(215) 755-6474
Mailing address
432 N 6TH ST, PHILADELPHIA, PA 19123-4004
(215) 925-2400
(215) 925-9162

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD023560E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008001670002
PA
01
0055554000
INDEPENDENCE CROSS
PA
01
04107410
AETNA
PA
Enumeration date
05/13/2006
Last updated
11/16/2015
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