Nicholette Martin LLC

NPI #1407884075 in Bowie, Maryland

Provider Information

NPI Number: 1407884075
Entity Type: Organization
Organization Name: Nicholette Martin LLC
Primary Specialty: Specialist
Enumeration Date: Jun 30, 2006
Last Updated: Mar 18, 2014

Practice Location

Address: 4000 MITCHELLVILLE RD
Address 2: SUITE B322
City: Bowie
State: Maryland
ZIP Code: 20716-3104
Phone: (301) 860-0305

Authorized Official

Name: DR. NICHOLETTE M MARTIN, MD
Title: MANAGING PARTNER
Phone: (301) 860-0305

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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