Individual
MIGUEL E MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1601 HADDON AVE, CAMDEN, NJ 08103-3109
(856) 757-3700
(856) 365-7972
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04187700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005503
—
NJ
Enumeration date
07/04/2006
Last updated
02/17/2021
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