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Individual

MR. STEVEN P MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1401 ATLANTIC AVE, ATLANTIC CITY, NJ 08401-7022
(609) 345-4000
Mailing address
533 BOWERS AVE, RUNNEMEDE, NJ 08078-1324
(856) 217-2372

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR12577100
NJ
163W00000X
Registered Nurse
RN603677
PA
227900000X
Registered Respiratory Therapist
43ZA00452100
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00396400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12434552
AMERIHEALTH NJ
NJ
Enumeration date
08/09/2012
Last updated
02/24/2015
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