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Individual

DR. ANTHONY JAMES MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3856 N BLUEBONNET RD, BATON ROUGE, LA 70809-2653
(225) 663-6752
(225) 663-6752
Mailing address
3856 N BLUEBONNET RD, BATON ROUGE, LA 70809-2653
(225) 663-6752
(225) 663-6752

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
014768
LA
207Y00000X
Otolaryngology Physician
Primary
ME 59010
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040017919
RAILROAD MEDICARE
FL
05
052694100
FL
05
1338150
LA
Enumeration date
08/15/2005
Last updated
11/29/2011
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