Jacob Campbell Martin, MD
Emergency Medicine in Camden, NJ. Individual provider (NPI-1).
NPI number1942829312
StatusActive
Last updated in NPPESNov 22, 2023
Details
- NPI
- 1942829312
- Entity type
- Individual (NPI-1)
- Name
- Jacob Campbell Martin
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2020
- Certification date
- Nov 22, 2023
- Last updated
- Nov 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 25MA11800600 | NJ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1 Cooper Plz Dept OfCamden, NJ 08103-1461
Phone 856-342-2627
Mailing address
1 Federal St Ste 200Camden, NJ 08103-1088
Phone 848-288-6935
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