Healthcare Provider Details

I. General information

NPI: 1396652012
Provider Name (Legal Business Name): RONALD MARTIN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 N MARKET ST
WILMINGTON DE
19802-4242
US

IV. Provider business mailing address

2611 N MARKET ST
WILMINGTON DE
19802-4242
US

V. Phone/Fax

Practice location:
  • Phone: 302-740-6096
  • Fax:
Mailing address:
  • Phone: 302-740-6096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. RONALD MARTIN JR.
Title or Position: CHIEF EXCUTITIVE
Credential:
Phone: 302-740-6096