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:
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Health care specialties

SpecialtyCodeLicense #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 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 1124020763 NPPES
New Jersey MEDICAID 0079537

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