John D Holtsclaw is a Methadone in Camden, New Jersey. John D Holtsclaw practices all healthcare services and medical treatments related to Methadone. The NPI Number for John D Holtsclaw is 1235309915. The last update date is 2022-09-08.
John D Holtsclaw's current location address is 508 Atlantic Ave, Camden, New Jersey. You can contact this provider via phone number 8563381811 and fax number 8565410719. The mailing address for John D Holtsclaw is 508 Atlantic Ave, Camden, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John D Holtsclaw |
|---|---|
| Address | 508 Atlantic Ave, Camden, New Jersey |
| Phone Number | 8563381811 |
| Fax Number | 8565410719 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1235309915 |
|---|---|
| Provider Enumeration Date | 2008-03-10 |
| Last Updated Date | 2022-09-08 |
Provider Mailing Address Detail
| Address | 508 Atlantic Ave |
|---|---|
| City | Camden |
| State | New Jersey (NJ) |
| Post Code | 8104 |
| Phone Number | 8563381811 |
| Fax Number | 8565410719 |
Provider's Primary Taxonomy Detail
| Speciality | Methadone |
|---|---|
| Taxonomy | 261Qm2800X |
| Licence No | 25MA07504100 |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
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What is the John D Holtsclaw's 1235309915?
The John D Holtsclaw's NPI (National Provider Identifier) Number is 1235309915. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of John D Holtsclaw?
The John D Holtsclaw is situated at 508 Atlantic Ave, in the city of Camden, state of NJ, with the zip code 8104.
What is John D Holtsclaw's specialized field of practice, and what is the corresponding taxonomy classification code?
The John D Holtsclaw's area of specialization is Methadone, and the corresponding taxonomy code that categorizes this field of practice is 261Qm2800X.
On what date was the 1235309915 assigned to John D Holtsclaw?
The John D Holtsclaw was issued its 1235309915 on 2008-03-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the John D Holtsclaw's information last updated?
The John D Holtsclaw's information was last updated on 2022-09-08.
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