| Martin Whiteman D.o. P.a. | |
|
217 Falling Oaks Rd Toms River NJ 08753-8408 | |
| (732) 606-4754 | |
| (201) 847-0059 |
| Full Name | Martin Whiteman D.o. P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 217 Falling Oaks Rd, Toms River, New Jersey |
| Authorized Official Name and Position | Martin Whiteman (PHYSICIAN) |
| Authorized Official Contact | 7326064754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Whiteman D.o. P.a. Po Box 326 Franklin Lakes NJ 07417-0326 Ph: (732) 606-4754 | Martin Whiteman D.o. P.a. 217 Falling Oaks Rd Toms River NJ 08753-8408 Ph: (732) 606-4754 |
| NPI Number | 1922210806 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2013 |
| Medicare PECOS PAC ID | 1254354061 |
|---|---|
| Medicare Enrollment ID | O20060110000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922210806 | NPI | - | NPPES |
| 5458102 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | MA59181 (New Jersey) | Primary |
| Provider Name | Martin Whiteman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588633903 PECOS PAC ID: 2668495235 Enrollment ID: I20060113000032 |
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