Individual
MARTIN WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
94 GREEN ST STE 202, WOODBRIDGE, NJ 07095-2947
(856) 839-5504
Mailing address
94 GREEN ST STE 202, WOODBRIDGE, NJ 07095-2947
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
—
—
Other
Enumeration date
09/02/2021
Last updated
04/24/2025
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