MEDICARE: PATRICIA A MARTZ M.D., FACS

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	174400000X	Specialist	MD059494L	PA
2	208600000X	Surgery Physician	25MA09670700	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1740263300
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA A MARTZ M.D., FACS

Provider Business Mailing Address
First Line	:	PO BOX 593
Second Line	:
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-0593
Country	:	US
Telephone Number	:	609-463-2755
Fax Number	:	609-463-2757

Provider Business Practice Location Address
First Line	:	217 N MAIN ST
Second Line	:	SUITE 104
City	:	CAPE MAY COURT HOUSE
State	:	NJ
Zip	:	08210-2165
Country	:	US
Telephone Number	:	609-463-1488
Fax Number	:	609-463-4881

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

Provider Enumeration Date	:	11/28/2005
Last Update Date	:	12/03/2015

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