Provider Demographics
NPI:1215189709
Name:CLINE, MARTIN J (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:J
Last Name:CLINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 PANORAMIC HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:STINSON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:94970-0905
Mailing Address - Country:US
Mailing Address - Phone:415-868-1358
Mailing Address - Fax:415-868-2760
Practice Address - Street 1:6901 PANORAMIC HIGHWAY
Practice Address - Street 2:
Practice Address - City:STINSON BEACH
Practice Address - State:CA
Practice Address - Zip Code:94970-0905
Practice Address - Country:US
Practice Address - Phone:415-868-1358
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2008-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG8637261QX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology