Martin, Brian M
Martin, Brian M is an individual health care provider with primary practice located at 718 Teaneck Rd , Teaneck NJ 07666-4245. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Martin, Brian M can be contacted via phone (201) 833-7149.Contact Information
Primary practice address
718 Teaneck Rd
Teaneck NJ 07666-4245
Phone: (201) 833-7149
Fax: (201) 833-6576
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA07836200 | New Jersey |
Profile Details
| NPI number | 1124020763 |
|---|---|
| LBN Legal business name | Martin, Brian M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Sep 17th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124020763 | NPPES |
| New Jersey | MEDICAID | 0079537 |
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