Individual provider · Type 1 NPI

Philease J. Martin

Medical Physician Assistant · Stamford, CT

NPI number 1255844197 Active

Practice location

2001 W Main St
Stamford, CT 06902-4501

Call (203) 658-8291 Map

Fax (203) 658-8294

Mailing address

21715 Jamaica Ave Apt 2B
Queens Village, NY 11428-2122

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X021588-1 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1255844197

Philease J. Martin's National Provider Identifier is 1255844197, issued on Nov 14, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Stamford, CT. The record was last updated on Nov 14, 2017.