| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARTHIN MAVERICK CORONADO SALES | 1528780475 | 2022-09-16 |
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 Type | Individual |
| Provider Name | Marthin Maverick Coronado Sales |
| Practice Office Address | 9 MULE RD STE E5 TOMS RIVER, NJ US |
| Practice Office Telephone | 7322302661 |
| Mailing Address | 1155 CATTUS ISLAND BLVD TOMS RIVER, NJ 087533908 US |
| Business Telephone | 7324852210 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 1155 Cattus Island Blvd | Toms River, NJ 087533908 | 7324852210 |
| Code | Practice | License No State |
|---|---|---|
| 363LP2300X PRIMARY | Access 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 |