Provider Demographics
NPI:1851561799
Name:CHRISTOPHER J. MARTINO, D.O.
Entity Type:Organization
Organization Name:CHRISTOPHER J. MARTINO, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEUROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARTINO
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:603-524-0700
Mailing Address - Street 1:14 MAPLE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:GILFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03249-6580
Mailing Address - Country:US
Mailing Address - Phone:603-524-0700
Mailing Address - Fax:603-528-3521
Practice Address - Street 1:14 MAPLE ST
Practice Address - Street 2:SUITE 400
Practice Address - City:GILFORD
Practice Address - State:NH
Practice Address - Zip Code:03249-6580
Practice Address - Country:US
Practice Address - Phone:603-524-0700
Practice Address - Fax:603-528-3521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-06
Last Update Date:2008-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH72717OtherSTATE OF NEW HAMPSHIRE