Individual
MR. MICHAEL JOSEPH MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1031 MCBRIDE AVE STE D212, WOODLAND PARK, NJ 07424-2569
(973) 837-0230
(973) 837-0234
Mailing address
1130 MCBRIDE AVE FL 3, WOODLAND PARK, NJ 07424-3806
(973) 785-2277
(973) 785-2355
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA04761000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659405
—
NJ
Enumeration date
06/30/2006
Last updated
04/27/2018
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