Provider Demographics
NPI:1164541389
Name:FOY, MARTIN T JR (RPH)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:T
Last Name:FOY
Suffix:JR
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-1895
Mailing Address - Country:US
Mailing Address - Phone:973-822-1443
Mailing Address - Fax:973-701-8117
Practice Address - Street 1:42 MAIN ST
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:NJ
Practice Address - Zip Code:07940-1895
Practice Address - Country:US
Practice Address - Phone:973-822-1443
Practice Address - Fax:973-701-8117
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNAT1000019175F00000X
NJRI01899700183500000X
FLPS22834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered175F00000XOther Service ProvidersNaturopath
Not Answered183500000XPharmacy Service ProvidersPharmacist