Individual
MARTINA F. MUTONE
Active
Individual
MARTINA F. MUTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01050199A
IN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
01050199A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000359695
ANTHEM
IN
05
—
200498030
—
IN
01
—
P00220118
MEDICARE RAILROAD
IN
Enumeration date
07/28/2006
Last updated
07/23/2025
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