Healthcare Provider Details

I. General information

NPI: 1518960400
Provider Name (Legal Business Name): MARTINI ABSIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3205 FIRE RD STE 3
EGG HARBOR TOWNSHIP NJ
08234-5884
US

IV. Provider business mailing address

3205 FIRE RD STE 3
EGG HARBOR TOWNSHIP NJ
08234-5884
US

V. Phone/Fax

Practice location:
  • Phone: 609-407-1113
  • Fax:
Mailing address:
  • Phone: 201-804-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number25MA07167100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: