Individual
MARY C MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
490 E NORTH AVE, SUITE 107, PITTSBURGH, PA 15212-4740
(412) 359-3376
(412) 359-5094
Mailing address
490 E NORTH AVE, SUITE 107, PITTSBURGH, PA 15212-4740
(412) 359-3376
(412) 359-5094
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD036219
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001119906
—
PA
05
—
0011199060003
—
PA
01
—
11046061
CAQH
PA
Enumeration date
07/07/2006
Last updated
10/19/2017
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