Provider Demographics
NPI:1487735114
Name:MARTIN, ROBERT A (MD)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:A
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:419 N HARRISON ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3521
Mailing Address - Country:US
Mailing Address - Phone:609-924-9300
Mailing Address - Fax:609-430-9481
Practice Address - Street 1:419 N HARRISON ST
Practice Address - Street 2:SUITE 201
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3521
Practice Address - Country:US
Practice Address - Phone:609-924-9300
Practice Address - Fax:609-430-9481
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2010-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA05149700207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1807656OtherUNITED HLTHCARE-SPECIALTY
NJ2118301Medicaid
NJ196651OtherAMERIHLTH ADMIN SPECIALTY
NJ898150OtherAETNA-SPECIALTY
NJ160032339OtherRAILROAD MED-SPECIALTY
NJMEP086OtherOXFORD-SPECIALTY
NJ0203911000OtherAMERIHLTH/IBC-SPECIALTY
NJ0203911000OtherAMERIHLTH/IBC-SPECIALTY
NJ196651OtherAMERIHLTH ADMIN SPECIALTY