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Contact Information

NIELS D MARTIN, MD
51 N 39TH ST
MEDICAL OFFICE BUILDING, 1ST FLOOR, SUITE 120
PHILADELPHIA, PA19104
 Phone: 215-662-7320
 Fax: 215-243-4605
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NIELS D MARTIN · (Male)

NPI Number 1013073477
Status Active
Credentials MD
Entity Individual
Enumeration date 12/29/2006
Last updated 06/07/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # MD420992
  • NJ Medicaid 0125024
  • PA Medicaid 1018343780005
Hospital affiliation(s)
  • HOSPITAL OF UNIV OF PENNSYLVANIA - (Acute Care)
    34TH & SPRUCE STS
    PHILADELPHIA, PA 19104
  • PENN PRESBYTERIAN MEDICAL CENTER - (Acute Care)
    51 NORTH 39TH STREET
    PHILADELPHIA, PA 19104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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