Individual
JEFFREY L MARTINEZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1140
(610) 372-7684
Mailing address
1270 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 372-1140
(610) 372-7684
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA003079L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50046110
CAPITAL BC
PA
Enumeration date
04/25/2006
Last updated
07/08/2007
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