Individual
JOHN ALBERT MARTY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
186 BLANEY RD, SUITE A, KITTANNING, PA 16201-3568
(724) 543-3668
(724) 543-2087
Mailing address
186 BLANEY RD, SUITE A, KITTANNING, PA 16201-3568
(724) 543-3668
(724) 543-2087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002620-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009748630002
—
PA
Enumeration date
05/04/2006
Last updated
06/28/2012
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