Provider Demographics
NPI:1922058130
Name:MARTYNOWICZ, TED E (MD)
Entity Type:Individual
Prefix:DR
First Name:TED
Middle Name:E
Last Name:MARTYNOWICZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1543 INWOOD AVE # 1545
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10452-2001
Mailing Address - Country:US
Mailing Address - Phone:855-681-8700
Mailing Address - Fax:718-294-4765
Practice Address - Street 1:1543 INWOOD AVE # 1545
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-2001
Practice Address - Country:US
Practice Address - Phone:855-681-8700
Practice Address - Fax:718-294-4765
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-04-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS005485L207RI0200X
NY156171207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease