Provider Demographics
NPI:1528103603
Name:BOOK, MARTIN J (DO)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:J
Last Name:BOOK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7910 WOODMONT AVE
Mailing Address - Street 2:SUITE 1300
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-3002
Mailing Address - Country:US
Mailing Address - Phone:301-654-2255
Mailing Address - Fax:301-718-4945
Practice Address - Street 1:7910 WOODMONT AVE
Practice Address - Street 2:SUITE 1300
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-3002
Practice Address - Country:US
Practice Address - Phone:301-654-2255
Practice Address - Fax:301-718-4945
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDH259832084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
467625W37Medicare ID - Type Unspecified
C89203Medicare UPIN