Organization
CHRISTOPHER W MARTIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER W MARTIN MD (OWNER)
(610) 251-5475
Entity
Organization
Contact information
Practice address
414 PAOLI PIKE, MALVERN, PA 19355-3311
(610) 251-5475
(610) 251-5475
Mailing address
PO BOX 175, NORTHUMBERLAND, PA 17857-0175
(570) 988-0925
(570) 988-0919
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062882L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017043340001
—
PA
Enumeration date
10/06/2006
Last updated
08/22/2020
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