Individual
DR. JOHN R MARTINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
303 1ST ST, CHARLEROI, PA 15022-1427
(724) 483-3675
Mailing address
685 MAGGIE LN, BELLE VERNON, PA 15012-3859
(724) 929-7171
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000671
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010361420002
—
PA
Enumeration date
11/08/2005
Last updated
12/11/2007
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