Individual
EDMUND F MARTIN
Active
Individual
EDMUND F MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD425709
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100727800
MEDICAID GROUP TPI
PA
01
—
597586
MEDICARE GROUP TPI
PA
01
—
CD4829
RAIL ROAD MEDICARE TPI
PA
Enumeration date
07/04/2006
Last updated
04/06/2018
Update your record
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