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NPI Code Detail

MEDICARE: CHRISTIN NICOLE MARTINO MD

MEDICARE:   CHRISTIN NICOLE MARTINO  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
12085R0202XDiagnostic Radiology Physician0101250956VA
22085R0202XDiagnostic Radiology Physician2016-02026NC

General Provider Information

NPI Number : 1588982227
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIN NICOLE MARTINO MD
Provider Business Mailing Address
First Line : 213 S JEFFERSON ST STE 1006
Second Line :
City : ROANOKE
State : VA
Zip : 24011-1713
Country : US
Telephone Number : 540-224-5715
Fax Number : 540-224-5684
Provider Business Practice Location Address
First Line : 1900 ELECTRIC RD
Second Line :
City : SALEM
State : VA
Zip : 24153-7494
Country : US
Telephone Number : 540-776-4055
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2010
Last Update Date : 08/12/2022

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Directions to “ CHRISTIN NICOLE MARTINO MD” Practice Location

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