Individual
JACOB MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
555 MADISON AVE, NEW YORK, NY 10022-3301
(646) 754-2000
(646) 754-9690
Mailing address
555 MADISON AVE, NEW YORK, NY 10022-3301
(646) 754-2000
(646) 754-9690
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT212941
PA
207RC0000X
Cardiovascular Disease Physician
Primary
308724
NY
Other
Enumeration date
05/04/2017
Last updated
11/26/2024
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