Organization
CARBON SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL F MARTINEZ MD, FACS. (PRESIDENT)
(610) 826-4595
Entity
Organization
Contact information
Practice address
255 DELAWARE AVE, PALMERTON, PA 18071-1812
(610) 826-4595
(610) 826-4399
Mailing address
255 DELAWARE AVE, PALMERTON, PA 18071-1812
(610) 826-4595
(610) 826-4399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530258
—
PA
01
—
CH1856
MEDICARE RAILROAD
PA
Enumeration date
05/17/2006
Last updated
09/24/2013
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