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Individual

TRISCIA MARTIN

Active
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Individual

TRISCIA MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
6033775-1206
UT
363AM0700X
Medical Physician Assistant
009695
NY
363AM0700X
Medical Physician Assistant
Primary
C0004046
MD
363AM0700X
Medical Physician Assistant
PA030646
DC

Other

Enumeration date
10/13/2006
Last updated
01/08/2011
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