Provider Demographics
NPI:1639483092
Name:LOBO MARIN, MARTHA I (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTHA
Middle Name:I
Last Name:LOBO MARIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3536 WINDRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-5429
Mailing Address - Country:US
Mailing Address - Phone:267-406-3052
Mailing Address - Fax:
Practice Address - Street 1:3536 WINDRIDGE DR
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902-5429
Practice Address - Country:US
Practice Address - Phone:267-406-3052
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17983208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice