Provider Demographics
NPI:1639565500
Name:MARTIN, CAITLIN ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:MARTIN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3701 MARKET ST
Mailing Address - Street 2:7TH AND 8TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-5502
Mailing Address - Country:US
Mailing Address - Phone:215-662-6100
Mailing Address - Fax:215-349-5512
Practice Address - Street 1:3701 MARKET ST
Practice Address - Street 2:7TH AND 8TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-5502
Practice Address - Country:US
Practice Address - Phone:215-662-6100
Practice Address - Fax:215-349-5512
Is Sole Proprietor?:No
Enumeration Date:2015-04-08
Last Update Date:2022-09-06
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Provider Licenses
StateLicense IDTaxonomies
PAMD476682207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO200071968Medicaid