Martino, Michael Joseph

Martino, Michael Joseph is an individual health care provider with primary practice located at 1031 Mcbride Ave Ste D212 , Woodland Park NJ 07424-2569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Martino, Michael Joseph can be contacted via phone (973) 837-0230.

Contact Information

Primary practice address
1031 Mcbride Ave Ste D212 Woodland Park NJ 07424-2569
Phone: (973) 837-0230
Fax: (973) 837-0234
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MA04761000 New Jersey

Profile Details

NPI number 1558399030
LBN Legal business name Martino, Michael Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Apr 27th, 2018 - about 6 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 1558399030 NPPES
New Jersey MEDICAID 1659405

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