Basic Information
| Provider Information | |||||||||
| NPI: | 1861899981 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ROBERT MARTIN MD INC | ||||||||
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| OtherOrganizationName: | ROBERT MARTIN MD | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 1389 | ||||||||
| Address2: | |||||||||
| City: | PLEASANTON | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945660138 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8772433110 | ||||||||
| FaxNumber: | 9252939777 | ||||||||
| Practice Location | |||||||||
| Address1: | 21030 REDWOOD RD | ||||||||
| Address2: | |||||||||
| City: | CASTRO VALLEY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945465920 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5102478281 | ||||||||
| FaxNumber: | 5108862936 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/04/2014 | ||||||||
| LastUpdateDate: | 01/10/2019 | ||||||||
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| AuthorizedOfficialLastName: | CAMPBELL | ||||||||
| AuthorizedOfficialFirstName: | JOLENE | ||||||||
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| AuthorizedOfficialTitleorPosition: | BILLING MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 9252939800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207X00000X | 67185 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Orthopaedic Surgery |
No ID Information.