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1972142669
FITZ MARTIN
MEDIA, PA
NPI
1972142669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: PA sp021299)
Enumeration Date
2019-12-30
Last Update Date
2019-12-30
Business Address
FITZ MARTIN
1055 E BALTIMORE PIKE STE 303
MEDIA, PA 19063-5173
Phone number: 610-892-3800
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Mailing Address
FITZ MARTIN
18 ALLENDALE RD
WYNNEWOOD, PA 19096-3645
Phone number: 267-997-5272
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