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NPI Code Detail

MEDICARE: MARTINI ABSIN M.D.

MEDICARE: MARTINI ABSIN M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturist
2207L00000XAnesthesiology Physician25MA07167100NJ

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2045547OTHERNJMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1518960400
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTINI ABSIN M.D.
Provider Business Mailing Address
First Line : 3205 FIRE RD STE 3
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-5884
Country : US
Telephone Number : 201-804-2800
Fax Number :
Provider Business Practice Location Address
First Line : 3205 FIRE RD STE 3
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-5884
Country : US
Telephone Number : 609-407-1113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 07/21/2022

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