Martin, Charles Edwin

Martin, Charles Edwin is an individual health care provider with primary practice located at 700 Lawn Ave , Sellersville PA 18960-1548. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as his primary health care specialty. Martin, Charles Edwin can be contacted via phone (215) 257-5578.

Contact Information

Primary practice address
700 Lawn Ave Sellersville PA 18960-1548
Fax: (215) 257-1350
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X MD065165L Pennsylvania

Profile Details

NPI number 1477553410
LBN Legal business name Martin, Charles Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 14th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477553410 NPPES
Pennsylvania MEDICAID 01833378

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