Individual
MART JOSEPH AMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3105 LIMESTONE RD, SUITE 301, WILMINGTON, DE 19808-2147
(302) 633-1700
(302) 633-4418
Mailing address
3105 LIMESTONE RD, SUITE 301, WILMINGTON, DE 19808-2147
(302) 633-1700
(302) 633-4418
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
C1-0003037
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114960I71
MEDICARE PTAN
DE
05
—
144301
—
DC
Enumeration date
07/19/2005
Last updated
03/22/2016
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