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Organization

MARTIN & MARSHALL DERMPATH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAMELA C MARTIN MD (PRESIDENT)
(504) 897-8418
Entity
Organization

Contact information

Practice address
1401 FOUCHER STREET, NEW ORLEANS, LA 70115-3515
(504) 897-8418
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453

Taxonomy

Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1010197
LA
Enumeration date
01/11/2007
Last updated
02/25/2015
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