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Mr. Ronald Alan Martin JR., PROGRAMSPONSOR
Methadone Clinic in Cherry Hill, New Jersey
NPI 1710551460

Ronald Alan Martin JR. is a Methadone Clinic based in Cherry Hill, NJ and is specialized in Methadone. Ronald Alan Martin JR. practices in Cherry Hill, NJ and has the professional credentials of PROGRAMSPONSOR. The NPI Number for Ronald Alan Martin JR. is 1710551460 and holds a License No. 2000872 (New Jersey).

The current practice location address for Ronald Alan Martin JR. is 1305 Kings Hwy N, Cherry Hill, NJ and can be reached out via phone at 856-651-7826 and via fax at 856-229-7142.

Location: 1305 Kings Hwy N, Cherry Hill, NJ, 08034-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710551460
Provider Name
Ronald Alan Martin JR.
Credential
PROGRAMSPONSOR
Provider Entity Type
Individual
Gender
Male
Address
1305 Kings Hwy N, Cherry Hill, NJ, 08034-1919
Phone Number
856-651-7826
Fax Number
856-229-7142
Provider Enumeration Date
05/18/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2000872 05 NJ
institution
Provider Business Practice Location Address Details
Address
1305 Kings Hwy N
City
Cherry Hill
State
New Jersey
Zip
08034-1919
Phone Number
856-651-7826
Fax Number
856-229-7142
person
Provider Business Mailing Address Details
Address
1305 Kings Hwy N
City
Cherry Hill
State
New Jersey
Zip
08034-1919
Phone Number
856-651-7826
Fax Number
856-229-7142
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
2000872 (New Jersey)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
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