person
Philease J Martin
Medical Physician Assistant in Stamford, Connecticut
NPI 1255844197

Philease J Martin is a Medical Physician Assistant based in Queens Village, CT and is specialized in Medical. Philease J Martin practices in Stamford, CT. The NPI Number for Philease J Martin is 1255844197 and holds a License No. 021588-1 (Connecticut).

The current practice location address for Philease J Martin is 2001 W Main St, Stamford, CT and can be reached out via phone at 203-658-8291 and via fax at 203-658-8294. You can also correspond with Philease J Martin through the mailing address at 21715 JAMAICA AVE APT 2B, QUEENS VILLAGE, NY - 11428-2122 (mailing address contact number: 773-910-2518).

Location: 2001 W Main St, Stamford, CT, 11428-2122
person
Provider Profile Details
NPI Number
1255844197
Provider Name
Philease J Martin
Credential
Provider Entity Type
Individual
Gender
Female
Address
2001 W Main St, Stamford, CT, 11428-2122
Phone Number
203-658-8291
Fax Number
203-658-8294
Provider Enumeration Date
11/14/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2001 W Main St
City
State
Zip
06902-4501
Phone Number
203-658-8291
Fax Number
203-658-8294
person
Provider Business Mailing Address Details
Address
2001 W Main St
City
State
Zip
06902-4501
Phone Number
203-658-8291
Fax Number
203-658-8294
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
021588-1 (New York)
Definition
Definition to come...
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