Individual
DANIEL S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9 N BROOKSIDE RD, SPRINGFIELD, PA 19064-2527
(610) 543-5300
(610) 543-3124
Mailing address
9 N BROOKSIDE RD, SPRINGFIELD, PA 19064-2527
(610) 543-5400
(610) 543-3124
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD417368
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018278900005
—
PA
01
—
080189416
RAILROAD MEDICARE
—
Enumeration date
06/01/2005
Last updated
02/08/2022
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