Individual
ED MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4918 LOCUST LN, HARRISBURG, PA 17109
(717) 671-9610
(717) 671-9680
Mailing address
200 NORTH SEVENTH STREET, LEBANON, PA 17046
(717) 273-1710
(717) 273-1416
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/23/2008
Last updated
01/23/2008
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