Individual
BRYAN ERIC MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6787
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6787
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
OS014597
PA
Other
Enumeration date
05/29/2008
Last updated
06/09/2020
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