Organization
JACK L. MARTIN, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK LEE MARTIN M.D. (OWNER)
(610) 525-7343
Entity
Organization
Contact information
Practice address
415 WYNTRE LEA DR, BRYN MAWR, PA 19010-2038
(610) 525-7343
Mailing address
415 WYNTRE LEA DR, BRYN MAWR, PA 19010-2038
(610) 525-7343
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
03/15/2008
Last updated
06/29/2022
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