Martin, Gloria G

Martin, Gloria G is an individual health care provider with primary practice located at 28 N 7Th St , Stroudsburg PA 18360-2110. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Martin, Gloria G can be contacted via phone (610) 481-0481.

Contact Information

Primary practice address
28 N 7Th St Stroudsburg PA 18360-2110
Phone: (610) 481-0481
Fax: (610) 481-0486
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 159042 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 159042 Massachusetts

Profile Details

NPI number 1720098668
LBN Legal business name Martin, Gloria G
Credentials WOMANS HEALTH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2006
Last updated Dec 15th, 2011 - about 13 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 1720098668 NPPES
Massachusetts Other 1300709 CMSP-GROUP
Massachusetts MEDICAID 1300709 CMSP-GROUP
Massachusetts Other 58497 CMSP-GROUP
Massachusetts Other Y10141 CMSP-GROUP

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