MEDICARE: DR. SAMANTHA L MARTIN-SZABO D.C.

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
1	111N00000X	Chiropractor	MC05099	NJ

Other Identifiers

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

General Provider Information

NPI Number	:	1861575771
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA L MARTIN-SZABO D.C.

Provider Business Mailing Address
First Line	:	2000 ACADEMY DR
Second Line	:	SUITE 100
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2831
Country	:	US
Telephone Number	:	856-727-3536
Fax Number	:	856-727-4703

Provider Business Practice Location Address
First Line	:	2000 ACADEMY DR
Second Line	:	SUITE 100
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-2831
Country	:	US
Telephone Number	:	856-727-3536
Fax Number	:	856-727-4703

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/23/2006
Last Update Date	:	07/08/2007

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