Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack L Martin, MD

Individual provider Cardiovascular Disease Physician · NPI 1942206214

Jack L Martin, MD is a Cardiovascular Disease Physician in Bryn Mawr, Pennsylvania. Licensed in New York, Pennsylvania and Texas. Registered with an NPI since 2005.

Licensed in
NY, PA, TX
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 Wyntre Lea Dr
Bryn Mawr, PA 19010-2038
Phone: (610) 331-5849
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Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 129873-01 (NY)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence MD022890E (PA)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence M9484 (TX)

Record details

NPI number1942206214
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESJune 29, 2022
Certification dateJune 23, 2022
Mailing address415 Wyntre Lea Dr, Bryn Mawr, PA 19010-2038

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