Individual
DR. SUZANNA E. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
9901 MEDICAL CENTER DR, SHADY GROVE ADVENTIST HOSPITAL, ROCKVILLE, MD 20850-3357
(240) 826-6610
Mailing address
9901 MEDICAL CENTER DR, PEDIATRIC EMERGENCY DEPARTMENT, ROCKVILLE, MD 20850
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D0073822
MD
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
D0073822
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14830
BLUE CROSS BLUE SHIELD
NC
05
—
5909423
—
NC
Enumeration date
06/25/2007
Last updated
06/03/2022
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