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Individual

MARIA MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
53 S LAUREL ST, BRIDGETON, NJ 08302-1946
(856) 451-4700
(856) 794-7183
Mailing address
24 PARTRIDGE CT, BRIDGETON, NJ 08302-9461
(856) 451-1746

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
25MP00358300
NJ

Other

Enumeration date
01/19/2015
Last updated
01/19/2015
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