Individual
MS. BETHANY ALICE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2500 BERNVILLE RD, READING, PA 19605
(610) 378-2423
Mailing address
50 GREEN PASTURES LN, MIFFLIN, PA 17058-7046
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA059919
PA
363A00000X
Physician Assistant
Primary
OA004535
PA
Other
Enumeration date
03/29/2018
Last updated
07/20/2018
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