Individual
BENJAMIN DONAHUE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4063
(202) 476-4613
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4063
(202) 476-4613
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
0116017285
VA
207X00000X
Orthopaedic Surgery Physician
Primary
149984
DC
Other
Enumeration date
03/28/2008
Last updated
12/01/2020
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