Provider Demographics
NPI:1760596498
Name:MARTYAK, ANTHONY P (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:P
Last Name:MARTYAK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:98-151 PALI MOMI ST
Mailing Address - Street 2:SUITE 142
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4300
Mailing Address - Country:US
Mailing Address - Phone:808-483-6400
Mailing Address - Fax:808-483-6087
Practice Address - Street 1:98-151 PALI MOMI ST
Practice Address - Street 2:SUITE 142
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4300
Practice Address - Country:US
Practice Address - Phone:808-483-6400
Practice Address - Fax:808-483-6087
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2010-09-28
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Provider Licenses
StateLicense IDTaxonomies
HIMD-3375207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIC98519Medicare UPIN