Dr. Michael Martin, md
Pediatrics in Vienna, VA. Individual provider (NPI-1).
NPI number1295778595
StatusActive
Last updated in NPPESJun 27, 2016
Details
- NPI
- 1295778595
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Martin
- Credential
- md
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 14, 2006
- Last updated
- Jun 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 0101237894 | VA | Yes |
Practice location
2235 Cedar LnSuite 302
Vienna, VA 22182-5202
Phone 917-716-1854 · Fax 703-344-7309
Mailing address
2235 Cedar LnSuite 302
Vienna, VA 22182-5202
Phone 917-716-1854 · Fax 703-344-7309
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