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NPI Code Detail

MEDICARE: DR. KATHERINE A MARTIN DO

MEDICARE:  DR. KATHERINE A MARTIN  DO
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
1207Q00000XFamily Medicine PhysicianH0055958MD

General Provider Information

NPI Number : 1437267986
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHERINE A MARTIN DO
Provider Business Mailing Address
First Line : 46940 S SHANGRI LA DR
Second Line : SUITE 19
City : LEXINGTON PARK
State : MD
Zip : 20653-1037
Country : US
Telephone Number : 301-863-8101
Fax Number : 301-863-8130
Provider Business Practice Location Address
First Line : 46940 S SHANGRI LA DR
Second Line : SUITE 19
City : LEXINGTON PARK
State : MD
Zip : 20653-1037
Country : US
Telephone Number : 301-863-8101
Fax Number : 301-863-8130
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 05/09/2014

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Directions to “ DR. KATHERINE A MARTIN DO” Practice Location

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