Doctor Name: | JAMES E MARTIN |
NPI Number: | 1811989593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 34003458 |
Business Practice Address: | 3913 Darrow Rd. Suite 100 Stow, OH - 44224 |
Business Phone Number: | 3306887900 |
Business Fax Number: | 3306881866 |
Mailing Address: | 3913 Darrow Rd., Suite 100 STOW |
State: | OH |
Postal Code: | 44224 |
Phone Number: | 3306887900 |
Fax Number: | 3306881866 |
NPI Enumeration Date: | 08/18/2005 |
NPI Last Update Date: | 02/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 34003458 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |