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NPI Code Detail

MEDICARE: MARTIN EARLE MD

MEDICARE: MARTIN EARLE 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
1207RH0003XHematology & Oncology PhysicianMD027013EPA

General Provider Information

NPI Number : 1699745919
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTIN EARLE MD
Provider Business Mailing Address
First Line : 1907 LEBANON CHURCH RD
Second Line :
City : WEST MIFFLIN
State : PA
Zip : 15122-2432
Country : US
Telephone Number : 412-563-8100
Fax Number : 412-653-8120
Provider Business Practice Location Address
First Line : 1907 LEBANON CHURCH RD
Second Line :
City : WEST MIFFLIN
State : PA
Zip : 15122-2432
Country : US
Telephone Number : 412-653-8100
Fax Number : 412-563-8120
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2006
Last Update Date : 10/28/2021

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