Healthcare Provider Details

I. General information

NPI: 1366022014
Provider Name (Legal Business Name): HANNAH MARTIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 BERNVILLE RD
READING PA
19605-9453
US

IV. Provider business mailing address

2500 BERNVILLE RD
READING PA
19605-9453
US

V. Phone/Fax

Practice location:
  • Phone: 610-378-2000
  • Fax:
Mailing address:
  • Phone: 610-378-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD485821
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: