Individual
DR. RICHARD MARTINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
166095-1
NY
207N00000X
Dermatology Physician
Primary
OS004256L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011266060001
—
PA
05
—
01088137
—
NY
01
—
110069222
RR MEDICARE PIN
PA
01
—
CC8362
RR MEDICARE GROUP
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039820
PA MEDICARE GROUP
PA
01
—
P00196063
RR MEDICARE PIN
NY
Enumeration date
01/31/2006
Last updated
03/12/2021
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