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Marthin Maverick Coronado Sales

NPI Registration Record

Provider / OrganizationNPIDate Certified
MARTHIN MAVERICK CORONADO SALES15287804752022-09-16

Marthin Maverick Coronado Sales is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1528780475. Registration indicates Marthin Maverick Coronado Sales is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )

Entity TypeIndividual
Provider Name Marthin Maverick Coronado Sales
Practice Office Address1155 CATTUS ISLAND BLVD
TOMS RIVER, NJ US
Practice Office Telephone7324852210
Mailing Address1155 CATTUS ISLAND BLVD
TOMS RIVER, NJ 087533908 US
Business Telephone7324852210
HPT Codes
CodePractice
License No
State
363LP2300X PRIMARYAccess to Adult/Geriatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse PractitionerAccess to Pediatric Primary Care Providers
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Nurse Practitioner: Primary Care

All Other Specialties & Provider Types

Nurse Practitioner Primary Care
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
26NJ01368700
NJ
OPI Codes
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