| Christopher W Martin LLC | |
|
414 Paoli Pike Malvern PA 19355-3311 | |
| (610) 251-5475 | |
| (610) 251-5475 |
| Full Name | Christopher W Martin LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 414 Paoli Pike, Malvern, Pennsylvania |
| Authorized Official Name and Position | Christopher W Martin (OWNER) |
| Authorized Official Contact | 6102515475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher W Martin LLC Po Box 175 Northumberland PA 17857-0175 Ph: (570) 988-0925 | Christopher W Martin LLC 414 Paoli Pike Malvern PA 19355-3311 Ph: (610) 251-5475 |
| NPI Number | 1467549196 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467549196 | NPI | - | NPPES |
| 017043340001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD062882L (Pennsylvania) | Primary |
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