Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SIMON PETER ROSENBLUM, ATC
Active Sole ProprietorSIMON PETER ROSENBLUM, ATC is a Athletic Trainer healthcare provider located in W LONG BRANCH, New Jersey. NPI 1386804128 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · W LONG BRANCH, NJ
Registration Details
- NPI Number
- 1386804128
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2008 (18.135675701272 yrs)
- Last Updated
- Jun 16, 2008
- License
-
25MT00079200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
400 CEDAR AVEW LONG BRANCH, NJ, 077641804Browse NJ providers · Browse ZIP 07764
- Phone
- 7322635249
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.