Individual
DR. CHARLES EDWIN MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LAWN AVE, SELLERSVILLE, PA 18960-1548
(215) 257-5578
(215) 257-1350
Mailing address
711 LAWN AVE STE 2, SELLERSVILLE, PA 18960-1575
(215) 257-5578
(215) 257-1350
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD065165L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01833378
—
PA
Enumeration date
07/29/2005
Last updated
01/14/2020
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