Yessica Martinez

Individual provider Active NPI Pediatrics Physician · Camden, DE

NPI 1073347233 · NPPES record last updated Aug 29, 2024

Key facts

NPI
1073347233
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
LG-0012925 (DE)
Practice address
120 Old Camden Rd Ste B
Camden, DE 19934-5501
Phone
(856) 278-1089
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LG-0012925DEMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208000000X LG-0012925 DE Yes

Addresses

Primary practice location

120 Old Camden Rd Ste B
Camden, DE 19934-5501

Mailing address

8 Jaymar Blvd
Newark, DE 19702-2877
Phone (302) 382-1524

Other providers in Camden, DE

All providers in Camden, DE · Pediatrics Physician in Delaware

Sources for this page

Verify at the official NPI Registry.