Individual
DR. ROBERT S MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5587 BROADWAY, MERRILLVILLE, IN 46410-2632
(219) 887-9506
(219) 884-3761
Mailing address
5587 BROADWAY, MERRILLVILLE, IN 46410-2632
(219) 887-9506
(219) 884-3761
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01020975
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000081973
ANTHEM
IN
05
—
100353200A
—
IN
Enumeration date
07/18/2005
Last updated
12/22/2010
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