Provider Demographics
NPI:1376607325
Name:PIERETTI, MARTIN O (DO, MPH)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:O
Last Name:PIERETTI
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Gender:M
Credentials:DO, MPH
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Mailing Address - Street 1:1245 HIGHLAND AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-3714
Mailing Address - Country:US
Mailing Address - Phone:215-481-5904
Mailing Address - Fax:215-481-5920
Practice Address - Street 1:1245 HIGHLAND AVENUE
Practice Address - Street 2:SUITE 104
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001
Practice Address - Country:US
Practice Address - Phone:215-481-5904
Practice Address - Fax:215-481-5920
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2010-08-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005341L2083P0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0500XAllopathic & Osteopathic PhysiciansPreventive MedicinePreventive Medicine/Occupational Environmental Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB40217Medicare UPIN