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Dr. Kenneth Wade Martin, MD
Diagnostic Radiology Physician in Philadelphia, Pennsylvania
NPI 1265471338

Kenneth Wade Martin is a Diagnostic Radiology Physician based in Reading, PA and is specialized in Diagnostic Radiology. Kenneth Wade Martin practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Kenneth Wade Martin is 1265471338 and holds a License No. G59973 (Pennsylvania).

The current practice location address for Kenneth Wade Martin is 160 E Erie Ave, Philadelphia, PA and can be reached out via phone at 215-427-5234. You can also correspond with Kenneth Wade Martin through the mailing address at PO BOX 13579, READING, PA - 19612-3579 (mailing address contact number: 484-628-1324).

Location: 160 E Erie Ave, Philadelphia, PA, 19612-3579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265471338
Provider Name
Kenneth Wade Martin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
160 E Erie Ave, Philadelphia, PA, 19612-3579
Phone Number
215-427-5234
Fax Number
Provider Enumeration Date
06/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G599730 05 CA
P00247201 01 RAILROAD MEDICARE PIN
institution
Provider Business Practice Location Address Details
Address
160 E Erie Ave
City
Philadelphia
State
Pennsylvania
Zip
19134-1011
Phone Number
215-427-5234
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 13579
City
Reading
State
Pennsylvania
Zip
19612-3579
Phone Number
484-628-1324
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
MD479412 (Pennsylvania)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G59973 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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