Organization Name: | C A MARTINA PODIATRY ASSOCIATES PA |
NPI Number: | 1386706877 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARMEN A MARTINA (PRESIDENT) |
Mailing Address: | 319 10th Ave Haddon Heights |
State: | NJ US |
Postal Code: | 080351835 |
Phone Number: | 8565466459 |
Fax Number: | 8565467636 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 03/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 25MD00092800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |