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Mary Ellen Martin, MD
Hematology & Oncology Physician in Philadelphia, Pennsylvania
NPI 1922096031

Mary Ellen Martin is a Hematology & Oncology Physician based in Philadelphia, PA and is specialized in Hematology & Oncology. Mary Ellen Martin practices in Philadelphia, PA and has the professional credentials of MD. The NPI Number for Mary Ellen Martin is 1922096031 and holds a License No. MD-068066-L (Pennsylvania).

The current practice location address for Mary Ellen Martin is 3400 Civic Center Blvd, South Pavilion, 12Th Floor, Philadelphia, PA and can be reached out via phone at 215-360-0713 and via fax at 215-214-3779.

Location: 3400 Civic Center Blvd, South Pavilion, 12Th Floor, Philadelphia, PA, 19104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922096031
Provider Name
Mary Ellen Martin
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3400 Civic Center Blvd, South Pavilion, 12Th Floor, Philadelphia, PA, 19104
Phone Number
215-360-0713
Fax Number
215-214-3779
Provider Enumeration Date
10/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00189880400001 05 PA
institution
Provider Business Practice Location Address Details
Address
3400 Civic Center Blvd, South Pavilion, 12Th Floor
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-360-0713
Fax Number
215-214-3779
person
Provider Business Mailing Address Details
Address
3400 Civic Center Blvd, South Pavilion, 12Th Floor
City
Philadelphia
State
Pennsylvania
Zip
19104
Phone Number
215-360-0713
Fax Number
215-214-3779
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
MD-068066-L (Pennsylvania)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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