Individual
LAURA YOUNG MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVE STE 3, HACKENSACK, NJ 07601-1915
(551) 996-2237
(551) 996-0734
Mailing address
3600 ROUTE 66 FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
1111111
MD
2086S0120X
Pediatric Surgery Physician
25MA11202600
NJ
2086S0120X
Pediatric Surgery Physician
Primary
311168
NY
Other
Enumeration date
04/23/2012
Last updated
04/14/2022
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