Provider Demographics
NPI:1669467890
Name:CORWIN, MARTIN E (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:E
Last Name:CORWIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:46 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3104
Mailing Address - Country:US
Mailing Address - Phone:973-560-1500
Mailing Address - Fax:973-560-0419
Practice Address - Street 1:46 EAGLE ROCK AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-3104
Practice Address - Country:US
Practice Address - Phone:973-560-1500
Practice Address - Fax:973-560-0419
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA01954500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4701003Medicaid
NJ185357MEEMedicare ID - Type Unspecified
D18670Medicare UPIN