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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACK L MARTIN, M.D.

Active

JACK L MARTIN, M.D. is a Hospice and Palliative Medicine healthcare provider located in BRYN MAWR, Pennsylvania. NPI 1942206214 is currently active in the NPPES registry. Verify at CMS.

Hospice and Palliative Medicine · BRYN MAWR, PA

Registration Details

NPI Number
1942206214
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2005 (21.115044368162 yrs)
Last Updated
Jun 29, 2022
Licenses
MD022890E (PA)
M9484 (TX)
129873-01 (NY)

Practice Information

Address
415 WYNTRE LEA DR
BRYN MAWR, PA, 190102038
Browse PA providers · Browse ZIP 19010
Phone
6103315849
Primary Specialty
Hospice and Palliative Medicine
207RI0011X
Additional Specialty
Cardiovascular Disease

Other Hospice and Palliative Medicine Providers in BRYN MAWR, PA

Name Credential NPI
FRANCIS P. DAY M.D. 1023042462
MANJU BENGALURU JAYANNA MBBS 1366722191
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.