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Individual

DEAN MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544
Mailing address
285 DAVIDSON AVE, SUITE 204, SOMERSET, NJ 08873-4153
(732) 271-1400
(732) 271-3544

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MA681106
NJ
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MA06811000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8768200
NJ
Enumeration date
04/25/2006
Last updated
08/05/2014
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