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Individual

DR. DOUGLAS R MARTZLUF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
757 NORLAND AVE, SUITE 101, CHAMBERSBURG, PA 17201-4230
(717) 217-6760
(717) 217-6702
Mailing address
785 5TH AVE, SUITE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD023608E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000633603 0005
PA
01
080087935
RAILROAD MEDICARE
PA
01
1007307260034
MEDICAID GROUP #
PA
01
120420409
DEPT OF LABOR
PA
01
122664
UNISON
PA
01
1336336
FIRST HEALTH
PA
01
152796
HIGHMARK BLUESHIELD
PA
01
1651301
CAPITAL BLUECROSS
PA
01
247736
MAMSI
PA
01
25-1716306
INFORMED
PA
01
426727
HEALTH AMERICA
PA
01
4307239
AETNA NON-HMO
PA
01
841779
AETNA HMO
PA
01
867633
MEDICARE GROUP #
PA
01
MD023608E
LICENSE
PA
01
P006018
GATEWAY
PA
Enumeration date
07/22/2005
Last updated
03/07/2023
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