Healthcare Provider Details

I. General information

NPI: 1740263300
Provider Name (Legal Business Name): PATRICIA A MARTZ M.D., FACS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA A MARTZ MD

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 12/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

217 N MAIN ST SUITE 104
CAPE MAY COURT HOUSE NJ
08210-2165
US

IV. Provider business mailing address

PO BOX 593
CAPE MAY COURT HOUSE NJ
08210-0593
US

V. Phone/Fax

Practice location:
  • Phone: 609-463-1488
  • Fax: 609-463-4881
Mailing address:
  • Phone: 609-463-2755
  • Fax: 609-463-2757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD059494L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number25MA09670700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: