Individual
ANTHONY S. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
11 ACADEMY RD, MONMOUTH, ME 04259-7035
(207) 524-3501
(207) 933-9645
Mailing address
180 CHURCH HILL RD, SUITE 1, LEEDS, ME 04263-3418
(207) 524-3501
(207) 524-2093
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1399
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020529
—
AZ
05
—
1427338698
—
ME
Enumeration date
08/19/2011
Last updated
06/25/2021
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