Individual
MARTIN F GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
137 W HIGH ST, SUITE 1A, ELKTON, MD 21921-8604
(410) 620-9200
(410) 620-9207
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0472
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C2-0002985
DE
207RN0300X
Nephrology Physician
H0037636
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000087903
—
DE
05
—
52681600
—
MD
05
—
8818100
—
NJ
Enumeration date
09/21/2005
Last updated
06/22/2021
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