Individual
CHRISTOPHER MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
218A SUNSET RD, SCREENING, CRISIS & INTERVENTION PROGRAM (SCIP), WILLINGBORO, NJ 08046-1110
(609) 835-6180
(609) 835-7962
Mailing address
1289 ROUTE 38, HAINESPORT, NJ 08036-2730
(609) 267-5656
(609) 267-8892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
S-4260
NJ
Other
Enumeration date
04/15/2009
Last updated
04/15/2009
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