Individual
DR. STANLEY IAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-1240
(570) 271-6408
(570) 271-5845
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
088082
OH
207RI0200X
Infectious Disease Physician
Primary
MD454708
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2664139
—
OH
Enumeration date
10/27/2005
Last updated
08/31/2020
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