Individual
MARK JOHN HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
520 JACKSONVILLE ROAD, MOUNT HOLLY, NJ 08060-1239
(609) 267-0837
(609) 702-0835
Mailing address
14 LANCASHIRE DRIVE, MOUNT HOLLY, NJ 08060-3275
(609) 261-8824
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MT00001900
NJ
Other
Enumeration date
04/19/2012
Last updated
04/19/2012
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