Individual
DR. PATRICK THOMAS MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
213 PLYMOUTH ROAD, GWYNEDD VALLEY, PA 19437
(215) 540-1249
Mailing address
213 PLYMOUTH ROAD, BOX 593, GWYNEDD VALLEY, PA 19437
(215) 540-1249
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD055258L
PA
208U00000X
Clinical Pharmacology Physician
Primary
MD055258L
PA
Other
Enumeration date
01/05/2011
Last updated
01/05/2011
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