Provider Demographics
NPI:1710205273
Name:MARTELINO, DANIEL A (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:A
Last Name:MARTELINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1621 ASHLAND RD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:GREENUP
Mailing Address - State:KY
Mailing Address - Zip Code:41144-1207
Mailing Address - Country:US
Mailing Address - Phone:606-473-1898
Mailing Address - Fax:606-473-1159
Practice Address - Street 1:1621 ASHLAND RD
Practice Address - Street 2:SUITE 4
Practice Address - City:GREENUP
Practice Address - State:KY
Practice Address - Zip Code:41144-1207
Practice Address - Country:US
Practice Address - Phone:606-473-1898
Practice Address - Fax:606-473-1159
Is Sole Proprietor?:No
Enumeration Date:2010-05-08
Last Update Date:2010-05-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY33856207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity Medicine