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General NPI Number Information
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NPI Number | 1669412383
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Entity Type | Individual
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Provider Name | ERIC L. MARTIN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 05/16/2024
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Provider Practice Location Address
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Address Line | 2339 ROUTE 70 W FL 2
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City | CHERRY HILL
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State | NJ
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Zip | 08002-3315
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Country | US
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Telephone | 856-751-6464
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST STE 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 848-288-6935
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Fax | 732-790-0107
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA12122700
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License Number State | NJ
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