Mary Martin is a Clinic/Center based in Kingston, PA. Mary Martin practices in Kingston, PA. The NPI Number for Mary Martin is 1548552292 and holds a License No. CW014765 (Pennsylvania).
The current practice location address for Mary Martin is 400 3Rd Ave, Kingston, PA and can be reached out via phone at 570-417-2830.
Location: 400 3Rd Ave, Kingston, PA, 18704-0388
Provider Profile Details
NPI Number
1548552292
Provider Name
Mary Martin
Credential
Provider Entity Type
Organization
Address
400 3Rd Ave, Kingston, PA, 18704-0388
Phone Number
570-417-2830
Fax Number
Provider Enumeration Date
05/12/2011
Last Update Date
02/15/2025
Provider Business Practice Location Address Details
Address
400 3Rd Ave
City
State
Zip
18704-5816
Phone Number
570-417-2830
Fax Number
Provider Business Mailing Address Details
Address
400 3Rd Ave
City
State
Zip
18704-5816
Phone Number
570-417-2830
Fax Number
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
CW014765 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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