MEDICARE: JOSHUA ERIC 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
1	2081S0010X	Sports Medicine (Physical Medicine & Rehabilitation) Physician	25MA10844600	NJ
2	208100000X	Physical Medicine & Rehabilitation Physician	D91809	MD

General Provider Information

NPI Number	:	1992169965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA ERIC MARTIN MD

Provider Business Mailing Address
First Line	:	7811 MONTROSE RD STE 340
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3359
Country	:	US
Telephone Number	:	301-588-7888
Fax Number	:	301-588-3419

Provider Business Practice Location Address
First Line	:	7811 MONTROSE RD STE 340
Second Line	:
City	:	POTOMAC
State	:	MD
Zip	:	20854-3359
Country	:	US
Telephone Number	:	301-588-7888
Fax Number	:	301-588-3419

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

Provider Enumeration Date	:	04/06/2016
Last Update Date	:	04/20/2023

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Directions to “ JOSHUA ERIC MARTIN MD” Practice Location

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