Individual
NICHOLETTE M. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4000 MITCHELLVILLE RD, SUITE B322, BOWIE, MD 20716-3104
(301) 860-0305
(301) 860-0307
Mailing address
PO BOX 4322, CROFTON, MD 21114-4322
(301) 860-0305
(301) 860-0307
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
D0050415
MD
Other
Enumeration date
07/08/2005
Last updated
03/18/2014
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