Individual
MS. TANIA CONSUELO MARTINEZ-JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1107 EATON AVE, BETHLEHEM, PA 18018-1862
(484) 526-2400
(484) 526-3697
Mailing address
1107 EATON AVE, BETHLEHEM, PA 18018-1862
(484) 526-2400
(484) 526-3697
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD432480
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001275120017
—
PA
Enumeration date
05/15/2007
Last updated
05/30/2013
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