PHILEASE J MARTIN NPI 1255844197

NPI Information

Philease J Martin is a medical physician assistant in Stamford, CT with 7 years of experience. Philease J Martin NPI is 1255844197. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PACIFIC MEDICAL COLLEGE
Graduation Year:2017

The provider's business location address is:

2001 W MAIN ST
STAMFORD, CT
ZIP 06902-501
Phone: (203) 658-8291
Fax: (203) 658-8294

The NPI 1255844197 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/14/2017 and was last updated on 11/14/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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