Provider Demographics
NPI:1750181343
Name:MARTIN, DONALD JR
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:
Last Name:MARTIN
Suffix:JR
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3507 PEARL DR APT 104
Mailing Address - Street 2:
Mailing Address - City:SUITLAND
Mailing Address - State:MD
Mailing Address - Zip Code:20746-2141
Mailing Address - Country:US
Mailing Address - Phone:202-704-3469
Mailing Address - Fax:
Practice Address - Street 1:2300 MARION BARRY AVE SE APT 425
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-5118
Practice Address - Country:US
Practice Address - Phone:240-300-2396
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-14
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant