Individual
CARL MARTINO
Active
Individual
CARL MARTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35.047093
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025170
ANTHEM BC/BS
OH
05
—
0577291
—
OH
01
—
300030544
RAILROAD MEDICARE
OH
01
—
58042
QUALCHOICE
OH
Enumeration date
08/30/2006
Last updated
09/24/2008
Update your record
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