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NPI Code Detail

MEDICARE: DR. PUBLIUS MARTINS MD

MEDICARE: DR. PUBLIUS MARTINS 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
1207R00000XInternal Medicine Physician143528NY

General Provider Information

NPI Number : 1821073917
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PUBLIUS MARTINS MD
Provider Business Mailing Address
First Line : 283 BARD AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-1664
Country : US
Telephone Number : 718-816-8068
Fax Number : 718-448-6299
Provider Business Practice Location Address
First Line : 283 BARD AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-1664
Country : US
Telephone Number : 718-816-8068
Fax Number : 718-448-6299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2005
Last Update Date : 12/28/2009

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