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Individual

DANIEL MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.A.-C

Contact information

Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-5633
Mailing address
PO BOX 64264, BALTIMORE, MD 21264-4264

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001281
MD

Other

Enumeration date
06/22/2006
Last updated
07/08/2007
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