Individual
C EDWIN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 MONUMENT RD, SUITE 200, YORK, PA 17403-5060
(717) 851-2441
(717) 851-4867
Mailing address
25 MONUMENT RD, SUITE 200, YORK, PA 17403-5060
(717) 851-2441
(717) 812-4867
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD029013L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000696499
—
PA
01
—
01514401
CAPITAL BLUE CROSS
PA
01
—
060013258
RAILROAD MEDICARE
PA
01
—
082382
HIGHMARK BLUE SHIELD
PA
01
—
087061
UNISON
PA
01
—
1525841
GATEWAY
PA
01
—
20009673
AMERIHEALTH MERCY
PA
01
—
34592
GEISINGER
PA
01
—
524716
CAREFIRST BLUE CROSS BLUE SHIELD
PA
Enumeration date
06/02/2006
Last updated
10/28/2011
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