Provider Demographics
NPI:1639231756
Name:SCHULMAN, MARTIN CRAIG (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:CRAIG
Last Name:SCHULMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 746
Mailing Address - Street 2:
Mailing Address - City:CARDIFF BY THE SEA
Mailing Address - State:CA
Mailing Address - Zip Code:92007-0746
Mailing Address - Country:US
Mailing Address - Phone:760-436-7464
Mailing Address - Fax:760-436-6648
Practice Address - Street 1:2045 SAN ELIJO AVE
Practice Address - Street 2:
Practice Address - City:CARDIFF BY THE SEA
Practice Address - State:CA
Practice Address - Zip Code:92007-1726
Practice Address - Country:US
Practice Address - Phone:760-436-7464
Practice Address - Fax:760-436-6648
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2013-07-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG58731207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E02860Medicare UPIN