Individual
MADISON LEE MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 PARAGON WAY STE 300, FREEHOLD, NJ 07728-7805
(732) 462-9800
Mailing address
2701 QUEENS PLZ N FL 10, LONG ISLAND CITY, NY 11101-4022
(201) 310-4999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00633700
NJ
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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