HEAVEN MARTIN

POTTSVILLE, PA
NPI1679175327
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: PA  MA061796)
Enumeration Date2020-11-09
Last Update Date2020-11-09
Business Address
HEAVEN MARTIN PA-C
106 S CLAUDE A LORD BLVD
POTTSVILLE, PA 17901-3639
Phone number: 570-728-2424
Mailing Address
HEAVEN MARTIN PA-C
2100 MACK BLVD FL 4
ALLENTOWN, PA 18103-5622
Phone number: 484-884-0617