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Individual

DR. JOHN PATRICK MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6231 LEESBURG PIKE, SUITE 608, FALLS CHURCH, VA 22044-2102
(703) 534-3900
(703) 536-3729
Mailing address
6231 LEESBURG PIKE, SUITE 608, FALLS CHURCH, VA 22044-2102
(703) 534-3900
(703) 536-3729

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101221054
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006307604
VA
Enumeration date
12/21/2005
Last updated
05/23/2012
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