Individual
MR. ANTHONY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 569-7690
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4411
(603) 569-7690
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
7676
WI
363AS0400X
Surgical Physician Assistant
Primary
1919
NE
363AS0400X
Surgical Physician Assistant
PA.0003410
CO
363AS0400X
Surgical Physician Assistant
PA1260
NV
363AS0400X
Surgical Physician Assistant
PA22399
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740254598
—
WI
Enumeration date
02/16/2006
Last updated
01/17/2024
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