Individual
DR. DOUGLAS J. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
629 D LOWTHER ROAD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3095
Mailing address
629 D LOWTHER RD, LEWISBERRY, PA 17339-9527
(717) 932-5200
(717) 932-3093
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD429037
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101626188027
—
PA
05
—
410751900
—
MD
Enumeration date
06/05/2006
Last updated
01/18/2012
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