MR. Ronald Alan Martin JR., PROGRAM SPONSOR
NPI #1710551460 in Cherry Hill, New Jersey
Provider Information
- NPI Number
- 1710551460
- Entity Type
- Individual
- Name
- MR. Ronald Alan Martin JR., PROGRAM SPONSOR
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Methadone
- Credential
- PROGRAM SPONSOR
- Enumeration Date
- May 18, 2021
- Last Updated
- May 18, 2021
Practice Location
- Address
- 1305 KINGS HWY N
- City
- Cherry Hill
- State
- New Jersey
- ZIP Code
- 08034-1919
- Phone
- (856) 651-7826
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Methadone — Methadone |
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