Individual
MR. MARTIN L GAGNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O, M.A.
Contact information
Practice address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
(860) 798-7008
Mailing address
3501 JOHNSON ST, HOLLYWOOD, FL 33021-5421
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
274346-218
NY
Other
Enumeration date
07/10/2014
Last updated
04/08/2021
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