Provider Demographics
NPI:1598726937
Name:MARTIN, MAUREEN FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:MAUREEN
Middle Name:FRANCES
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1700 MOUNT VERNON AVE
Mailing Address - Street 2:2040
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-4018
Mailing Address - Country:US
Mailing Address - Phone:661-326-2275
Mailing Address - Fax:661-326-2282
Practice Address - Street 1:1700 MOUNT VERNON AVE
Practice Address - Street 2:SUITE 2040
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93306-4018
Practice Address - Country:US
Practice Address - Phone:661-326-2275
Practice Address - Fax:661-326-2282
Is Sole Proprietor?:No
Enumeration Date:2006-03-28
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81341208600000X, 2086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A813410Medicare ID - Type Unspecified
CAB74960Medicare UPIN