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1083641294
JACKIE MARTIN
BALTIMORE, MD
NPI
1083641294
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MD D33059)
Enumeration Date
2006-06-26
Last Update Date
2013-01-25
Business Address
-- JACKIE MARTIN M.D.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-6353
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Mailing Address
-- JACKIE MARTIN M.D.
PO BOX 64382
BALTIMORE, MD 21264-4382
Phone number:
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