Provider Demographics
NPI:1083644843
Name:CINER, MARTIN (PT)
Entity Type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:
Last Name:CINER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 MARLTON PIKE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-6312
Mailing Address - Country:US
Mailing Address - Phone:856-910-8889
Mailing Address - Fax:856-910-8755
Practice Address - Street 1:3801 MARLTON PIKE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-6312
Practice Address - Country:US
Practice Address - Phone:856-910-8889
Practice Address - Fax:856-910-8755
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00638000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist