Individual
JACEN A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
(410) 821-5943
Mailing address
1400 FRONT AVE, SUITE 100, LUTHERVILLE, MD 21093-5300
(410) 296-6232
(410) 821-5943
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001908
MD
Other
Enumeration date
09/21/2006
Last updated
09/23/2015
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