Individual
DR. JOHN D HOLTSCLAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
508 ATLANTIC AVE, CAMDEN, NJ 08104
(856) 338-1811
(856) 541-0719
Mailing address
508 ATLANTIC AVE, CAMDEN, NJ 08104
(856) 338-1811
(856) 541-0719
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
25MA07504100
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8635200
—
NJ
05
—
8648204
—
NJ
Enumeration date
03/10/2008
Last updated
09/08/2022
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