Individual
KEITH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 N WOLFE ST STE 2022, BALTIMORE, MD 21287-0011
(410) 614-5961
(410) 367-2095
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
34.013249
OH
208000000X
Pediatrics Physician
Primary
H91895
MD
Other
Enumeration date
04/06/2015
Last updated
05/12/2022
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