MEDICARE: MARTIN JASION RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	14727	NJ

General Provider Information

NPI Number	:	1710974621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARTIN JASION RPH

Provider Business Mailing Address
First Line	:	164 NORTHFIELD RD
Second Line	:
City	:	BRIDGEWATER
State	:	NJ
Zip	:	08807-3707
Country	:	US
Telephone Number	:	908-203-8555
Fax Number	:

Provider Business Practice Location Address
First Line	:	1990 WASHINGTON VALLEY RD
Second Line	:
City	:	MARTINSVILLE
State	:	NJ
Zip	:	08836-2057
Country	:	US
Telephone Number	:	732-469-0777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	07/08/2007

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