Doctor Name: | MS. ANNA M MARTIN |
NPI Number: | 1184871022 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 1200 Brooks Ln Suite 240 Clairton, PA - 150253747 |
Business Phone Number: | 4124691660 |
Business Fax Number: | 4124698972 |
Mailing Address: | 1200 Brooks Ln, Suite 240 CLAIRTON |
State: | PA |
Postal Code: | 150253747 |
Phone Number: | 4124691660 |
Fax Number: | 4124698972 |
NPI Enumeration Date: | 08/22/2008 |
NPI Last Update Date: | 08/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |