Individual
RAMELLE DANA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA75913
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010383
—
NJ
01
—
223586506002
CHAMPUS/TRICARE
NJ
Enumeration date
06/06/2006
Last updated
07/16/2007
Update your record
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