Individual
DR. JONATHAN VASILIOS SAGUAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-2874
(631) 444-8329
(631) 444-6176
Mailing address
1452 ROBERT BRADBY DR APT B, DETROIT, MI 48207-4923
(530) 401-4248
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
315942
NY
208600000X
Surgery Physician
4301103306
MI
2086S0102X
Surgical Critical Care Physician
315942
NY
2086S0102X
Surgical Critical Care Physician
4301103306
MI
2086S0102X
Surgical Critical Care Physician
65407
AZ
2086S0102X
Surgical Critical Care Physician
71089
MN
2086S0127X
Trauma Surgery Physician
315942
NY
Other
Enumeration date
05/03/2013
Last updated
07/01/2022
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