Individual
EDWARD D MARTIROSIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7603 FOREST AVENUE, SUITE 202, RICHMOND, VA 23229
(804) 288-0134
(804) 285-5165
Mailing address
7702 EAST PARHAM ROAD, SUITE 106, RICHMOND, VA 23294
(804) 346-2070
(804) 346-5171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101019503
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2500085
UNITED
—
01
—
738326
AETNA
—
Enumeration date
11/17/2006
Last updated
04/15/2008
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