Individual
DR. MARTIN THOMAS PAVELIC III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922
(908) 277-8872
(908) 673-7382
Mailing address
209 HALLMARK HOUSE, HERSHEY, PA 17033-2339
(717) 991-1013
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10262500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2013
Last updated
07/18/2018
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