Search › Pennsylvania › 207RI0011X
Jack Martin, M.D
NPI 1942206214 · on the registry since 2005
Practice
- Address
- 415 Wyntre Lea Dr
Bryn Mawr, PA 19010 - Phone
- (610) 331-5849
- Organisation at this address
- Jack L. Martin, M.D., P.A.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207RI0011X
207RI0011X
- Also registered as
- 207RC0000X
207RC0000X - Licence states on file
- PA, TX, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-06-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania