Organization · Type 2 NPI

Mary Martin

Clinic/Center · Kingston, PA

NPI number 1548552292 Active

Practice location

400 3rd Ave, Suite 308
Kingston, PA 18704-5816

Call (570) 417-2830 Map

Mailing address

PO Box 1388
Kingston, PA 18704-0388

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XCW014765 (PA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

5 other providers at this address

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About NPI 1548552292

Mary Martin's National Provider Identifier is 1548552292, issued on May 12, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Kingston, PA. The record was last updated on Mar 28, 2013.