Provider Demographics
NPI:1083646699
Name:MARKOWITZ, MARTIN ALAN (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:ALAN
Last Name:MARKOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6770 MAYFIELD RD
Mailing Address - Street 2:SUITE 326
Mailing Address - City:MAYFIELD HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2299
Mailing Address - Country:US
Mailing Address - Phone:440-461-4733
Mailing Address - Fax:440-461-4049
Practice Address - Street 1:6770 MAYFIELD RD
Practice Address - Street 2:SUITE 326
Practice Address - City:MAYFIELD HTS
Practice Address - State:OH
Practice Address - Zip Code:44124-2299
Practice Address - Country:US
Practice Address - Phone:440-461-4733
Practice Address - Fax:440-461-4049
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2011-11-02
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Provider Licenses
StateLicense IDTaxonomies
OH35029068207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0112229Medicaid
OH7412951Medicare PIN
OHA71214Medicare UPIN
OHMA0142624Medicare ID - Type Unspecified