Individual
ANTHONY JOSEPH MARTINO
Active
Individual
ANTHONY JOSEPH MARTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036110934
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110934
—
IL
01
—
1635319
BLUE CROSS BLUE SHIELD
IL
01
—
202785622
PRIVATE HEALTHCARE SYSTEM
—
01
—
7474721
AENTA INSURANCE
—
01
—
ILLINOIS 04-10369
UNITED HEALTHCARE
—
Enumeration date
05/02/2006
Last updated
03/04/2015
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