Individual
MISS CARMEN M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-4276
Mailing address
165 STEPHENS ST, BELLEVILLE, NJ 07109-3140
(973) 855-9711
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
46TR00150100
NJ
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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