| Doctor Name: | MR. THOMAS K. MARTIN |
| NPI Number: | 1568608453 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | RN227027L |
| Business Practice Address: | 11 Independence Drive Spring City V.a. Outpatient Clinic Spring City, PA - 19475 |
| Business Phone Number: | 6109480981 |
| Business Fax Number: | |
| Mailing Address: | 6098 Old Philadelphia Pike, GAP |
| State: | PA |
| Postal Code: | 175279797 |
| Phone Number: | 7174424509 |
| Fax Number: | |
| NPI Enumeration Date: | 12/23/2008 |
| NPI Last Update Date: | 12/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP2201X |
| License Number: | RN227027L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Ambulatory Care |
| Taxonomy Definition: | |