Provider Demographics
NPI:1720055924
Name:MARTIN, GREGORY JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:JOHN
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:US NMRCD - PERU, AMERICAN EMBASSY
Mailing Address - Street 2:UNIT 3800
Mailing Address - City:APO AA
Mailing Address - State:FL
Mailing Address - Zip Code:34031-3800
Mailing Address - Country:US
Mailing Address - Phone:511-562-3848
Mailing Address - Fax:511-561-3042
Practice Address - Street 1:US NMRCD - PERU; AMERICAN EMBASSY
Practice Address - Street 2:UNIT 3800
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:34031-3800
Practice Address - Country:US
Practice Address - Phone:011511-562-3848
Practice Address - Fax:011511-562-3848
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG64883207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease