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Dr. Martin B Engelhardt III
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NPI Number Detailed Information
Provider Information:
| Name: | Dr. Martin B Engelhardt III |
| Gender: | M |
| Provider License Number If Given: | 205777 |
NPI Information:
| NPI: | 1639178023 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 8/20/2008 |
Provider Business Mailing Address:
| Address: | 1333A NORTH AVE PMB 436 New Rochelle, NY 10804 |
| Phone Number: | 9142335822 |
| Fax Number: |
Provider Business Practice Location Address:
| Address: | 77 QUAKER RIDGE RD SUITE 200A New Rochelle, NY 10804 |
| Phone Number: | 9142358224 |
| Fax Number: | 9142356940 |
Provider Taxonomy:
| Primary: | 207R00000X |
| Secondary (if any): | |
| State: | NY |
