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Individual

DR. DIANNE C MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2287 MOWRY AVE STE F, FREMONT, CA 94538-1622
(510) 248-1585
(510) 739-1050
Mailing address
2287 MOWRY AVE STE F, FREMONT, CA 94538-1622
(510) 248-1585
(510) 739-1050

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
G045774
CA
207RI0200X
Infectious Disease Physician
Primary
G45774
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G045774
STATE OF CALIFORNIA
CA
Enumeration date
10/24/2006
Last updated
01/29/2019
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