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NPI Code Detail

MEDICARE: DR. RICHARD F MARTIN MD

MEDICARE: DR. RICHARD F MARTIN 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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35037042OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669457222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD F MARTIN MD
Provider Business Mailing Address
First Line : PO BOX 42796
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-0796
Country : US
Telephone Number : 513-965-8041
Fax Number : 513-965-8093
Provider Business Practice Location Address
First Line : 630 EATON AVE
Second Line :
City : HAMILTON
State : OH
Zip : 45013-2767
Country : US
Telephone Number : 513-867-2385
Fax Number : 513-965-8093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 02/18/2010

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