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NPI Code Detail

MEDICARE: DR. CHARLES MICHAEL MARTINEZ MD

MEDICARE:  DR. CHARLES MICHAEL MARTINEZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician16809NY

General Provider Information

NPI Number : 1124190384
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHARLES MICHAEL MARTINEZ MD
Provider Business Mailing Address
First Line : 48 DECATUR ROAD
Second Line :
City : NEW ROCHELLE
State : NY
Zip : 10801-5701
Country : US
Telephone Number : 914-576-3356
Fax Number : 718-760-7621
Provider Business Practice Location Address
First Line : 1650 GRAND CONCOURSE
Second Line : BRONX LEBANON HOSPITAL CENTER DEPARTMENT OF EMERGENCY M
City : BRONX
State : NY
Zip : 10457-0000
Country : US
Telephone Number : 718-960-1400
Fax Number : 718-960-2077
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2006
Last Update Date : 07/08/2007

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Directions to “ DR. CHARLES MICHAEL MARTINEZ MD” Practice Location

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