Individual
DORIAN S ST MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 GEIPE RD, SUITE 275, BALTIMORE, MD 21228-4147
(443) 636-3100
(443) 636-3101
Mailing address
700 GEIPE RD, SUITE 275, BALTIMORE, MD 21228-4147
(443) 636-3100
(443) 636-3101
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0028236
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374251200
—
MD
01
—
KV0842140102
CAREFIRST
MD
01
—
W6200005
CAREFIRST
DC
Enumeration date
03/23/2006
Last updated
07/03/2011
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