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1568462273 NPI number — DOUGLAS R MARTZLUF MD

NPI Number: 1568462273
Health Care Provider/Practitioner: DOUGLAS R MARTZLUF MD

Information about “1568462273” NPI (DOUGLAS R MARTZLUF MD) exists in 1568462273 in HTML format HTML  |  1568462273 in plain Text format TXT  |  1568462273 in PDF (Portable Document Format) PDF  |  1568462273 in an XML format XML  formats.

NPI Number : 1568462273 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568462273",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTZLUF",
    "FirstName": "DOUGLAS",
    "MiddleName": "R",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "785 5TH AVE",
    "SecondLineMailingAddress": "SUITE 3",
    "MailingAddressCityName": "CHAMBERSBURG",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "17201-4232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "717-263-9555",
    "MailingAddressFaxNumber": "717-217-4217",
    "FirstLinePracticeLocationAddress": "757 NORLAND AVE",
    "SecondLinePracticeLocationAddress": "SUITE 101",
    "PracticeLocationAddressCityName": "CHAMBERSBURG",
    "PracticeLocationAddressStateName": "PA",
    "PracticeLocationAddressPostalCode": "17201-4230",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "717-217-6760",
    "PracticeLocationAddressFaxNumber": "717-217-6702",
    "EnumerationDate": "07/22/2005",
    "LastUpdateDate": "03/07/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "MD023608E",
        "LicenseNumberStateCode": "PA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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