Individual
DR. MARTIN A GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, D.P.M
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
P00368
CT
225100000X
Physical Therapist
Primary
PT002233
CT
Other
Enumeration date
02/16/2006
Last updated
08/03/2010
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