Individual
ANTHONY MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
900 CATON AVENUE, BALTIMORE, MD 21229
(410) 368-3235
(410) 368-3529
Mailing address
PO BOX 21182, BALTIMORE, MD 21228
(410) 368-8640
(410) 368-8644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D0040085
MD
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
D004085
MD
207RP1001X
Pulmonary Disease Physician
D0040085
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069701000
—
MD
01
—
K519153264501
CAREFIRST
MD
01
—
W66210001
CAREFIRST
DC
Enumeration date
03/24/2006
Last updated
09/22/2011
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