Provider Demographics
NPI:1831620970
Name:MARTIN, ANDREW BRYCE (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BRYCE
Last Name:MARTIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:LANCASTER GENERAL HOSPITAL
Mailing Address - Street 2:555 N DUKE STREET
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17602
Mailing Address - Country:US
Mailing Address - Phone:717-682-2557
Mailing Address - Fax:
Practice Address - Street 1:LANCASTER GENERAL HOSPITAL
Practice Address - Street 2:555 N DUKE ST
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17602
Practice Address - Country:US
Practice Address - Phone:717-682-2557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-21
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD469243207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty