Individual
DR. ROBERT E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N FRONT ST, WORMLEYSBURG, PA 17043-1034
(717) 731-0101
(717) 731-8359
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD420974
PA
207RC0000X
Cardiovascular Disease Physician
Primary
MD420974
PA
207RI0011X
Interventional Cardiology Physician
MD420974
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001943834
—
PA
Enumeration date
08/03/2005
Last updated
01/28/2021
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