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Organization

JOHN J. MARTIN, M.D. INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN JOSEPH MARTIN M.D. (DOCTOR)
(619) 297-4707
Entity
Organization

Contact information

Practice address
4060 FOURTH AVE, SUITE 310, SAN DIEGO, CA 92103-2116
(619) 297-4707
(619) 297-2448
Mailing address
4060 FOURTH AVE, SUITE 310, SAN DIEGO, CA 92103-2116
(619) 297-4707
(619) 297-2448

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G24101
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G241010
CA
Enumeration date
04/17/2008
Last updated
04/17/2008
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