MEDICARE: NATALIE MARTOS P.A.

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
1	363A00000X	Physician Assistant	PA031199	DC

General Provider Information

NPI Number	:	1679945794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE MARTOS P.A.

Provider Business Mailing Address
First Line	:	2041 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20060-3407
Country	:	US
Telephone Number	:	202-865-4553
Fax Number	:

Provider Business Practice Location Address
First Line	:	2041 GEORGIA AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20060-3407
Country	:	US
Telephone Number	:	202-865-4553
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	10/28/2015

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Directions to “ NATALIE MARTOS P.A.” Practice Location

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