Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWARD J MARTIN III, M.D.
ActiveAnatomic Pathology · GRETNA, LA
Registration Details
- NPI Number
- 1255367132
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2006 (19.837862137492 yrs)
- Last Updated
- Jun 2, 2016
- License
-
018796 (LA)
Practice Information
- Address
-
1141 WHITNEY AVEGRETNA, LA, 700565011Browse LA providers · Browse ZIP 70056
- Phone
- 5043613757
- Fax
- 5043613132
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.