Individual
MR. THOMAS K. MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
11 INDEPENDENCE DRIVE, SPRING CITY V.A. OUTPATIENT CLINIC, SPRING CITY, PA 19475
(610) 948-0981
Mailing address
6098 OLD PHILADELPHIA PIKE, GAP, PA 17527-9797
(717) 442-4509
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
RN227027L
PA
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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