person
Dr. Jack T. Martin, MD
Diagnostic Radiology Physician in Harrisburg, Pennsylvania
NPI 1932159878

Jack T. Martin is a Diagnostic Radiology Physician based in Harrisburg, PA and is specialized in Diagnostic Radiology. Jack T. Martin practices in Harrisburg, PA and has the professional credentials of MD. The NPI Number for Jack T. Martin is 1932159878 and holds a License No. MD063451L (Pennsylvania).

The current practice location address for Jack T. Martin is 4518 Union Deposit Rd, Harrisburg, PA and can be reached out via phone at 717-652-5840 and via fax at 717-652-8152.

Location: 4518 Union Deposit Rd, Harrisburg, PA, 17111-2910
person
Provider Profile Details
NPI Number
1932159878
Provider Name
Jack T. Martin
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4518 Union Deposit Rd, Harrisburg, PA, 17111-2910
Phone Number
717-652-5840
Fax Number
717-652-8152
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50084215 01 PA CAPITAL BLUE CROSS
0017475650001 05 PA
453061 01 PA HIGHMARK BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
4518 Union Deposit Rd
City
State
Zip
17111-2910
Phone Number
717-652-5840
Fax Number
717-652-8152
person
Provider Business Mailing Address Details
Address
4518 Union Deposit Rd
City
State
Zip
17111-2910
Phone Number
717-652-5840
Fax Number
717-652-8152
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
MD063451L (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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