Provider Demographics
NPI:1376682229
Name:HERBERT MARTON MD PA
Entity Type:Organization
Organization Name:HERBERT MARTON MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTHALMOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HERBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-568-0770
Mailing Address - Street 1:245 ENGLE STREET
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2465
Mailing Address - Country:US
Mailing Address - Phone:201-568-0770
Mailing Address - Fax:201-568-4233
Practice Address - Street 1:245 ENGLE STREET
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2465
Practice Address - Country:US
Practice Address - Phone:201-568-0770
Practice Address - Fax:201-568-4233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA019331207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2708809Medicaid
D06670Medicare UPIN
NJ2708809Medicaid