Individual
UBALDO MARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(215) 707-3336
(215) 707-6867
Mailing address
3425 N CARLISLE ST, 2ND FL HUDSON BUILDING, PHILADELPHIA, PA 19140-5108
(215) 707-4739
(215) 707-3677
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD066621L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10052005426106
—
PA
Enumeration date
10/12/2005
Last updated
07/08/2007
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