Individual
JUAN MARTINEZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 NJ ROUTE 35S, CLIFFWOOD, NJ 07721
(732) 812-5489
Mailing address
12 MIDDLESEX BLVD, KEYPORT, NJ 07735-6052
(732) 977-8778
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
26NR14061700
NJ
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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