Individual
DR. LUIS J MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2600 TUSCARAWAS ST W, SUITE#500, CANTON, OH 44708-4644
(330) 452-8858
(330) 452-7797
Mailing address
2600 TUSCARAWAS ST W, SUITE#500, CANTON, OH 44708-4644
(330) 452-8858
(330) 452-7797
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35070841M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2016142
—
OH
Enumeration date
03/16/2006
Last updated
06/18/2010
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