Active NPIIndividual providerSole proprietor

Dr. John D Holtsclaw, MD

Clinic/Center, Methadone Clinic in Camden, New Jersey

NPI Number1235309915
Practice location
508 Atlantic Ave, Camden, NJ 08104
Fax
856-541-0719
Last updated
September 8, 2022

John D Holtsclaw is a Clinic/Center, Methadone Clinic based in Camden, NJ. John D Holtsclaw practices in Camden, NJ and has the professional credentials of MD. The NPI Number for John D Holtsclaw is 1235309915 and holds a License No. 25MA07504100. The current practice location address for John D Holtsclaw is 508 Atlantic Ave, Camden, NJ 08104 and can be reached out via phone at 856-338-1811 and via fax at 856-541-0719.

Provider Profile Details

NPI Number
1235309915
Provider Name
John D Holtsclaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
508 Atlantic Ave, Camden, NJ 08104
Phone Number
856-338-1811
Fax Number
856-541-0719
Primary Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X
Sole Proprietor
Yes
Provider Enumeration Date
March 10, 2008
Last Update Date
September 8, 2022
Certification Date
September 8, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
508 Atlantic Ave
Camden, NJ 08104
City
Camden
Zip
08104
Phone Number
856-338-1811
Fax Number
856-541-0719
Camden, NJ 08104Get directions →

Provider Business Mailing Address Details

Address
508 Atlantic Ave
Camden, NJ 08104
City
Camden
State
NJ
Zip
08104
Phone Number
856-338-1811
Fax Number
856-541-0719

License Information

License Number
25MA07504100
Taxonomy
Clinic/Center, Methadone Clinic · 261QM2800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. John D Holtsclaw, MD?

The NPI number of Dr. John D Holtsclaw, MD is 1235309915. It was assigned on March 10, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. John D Holtsclaw, MD?

Dr. John D Holtsclaw, MD is registered under the primary taxonomy Clinic/Center, Methadone Clinic (code 261QM2800X), licensed under license number 25MA07504100.

Where does Dr. John D Holtsclaw, MD practice?

The practice location is 508 Atlantic Ave, Camden, NJ 08104. The office can be reached at 856-338-1811 (phone) or 856-541-0719 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235309915 directly on the NPPES registry website.

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