Individual
DR. FREDRIC W MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4727 FRIENDSHIP AVE, SUITE 200, PITTSBURGH, PA 15224-1779
(412) 235-5810
(412) 235-5890
Mailing address
4727 FRIENDSHIP AVE, SUITE 200, PITTSBURGH, PA 15224-1779
(412) 235-5810
(412) 235-5890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD014001E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006674140002
—
PA
01
—
P00340404
RAILROAD MEDICARE
PA
Enumeration date
07/12/2006
Last updated
10/11/2010
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