Individual
MR. STEVEN P MARTIN
Active
Individual
MR. STEVEN P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
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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