Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
R M C N J PA
Active OrganizationAthletic Trainer · WEST ORANGE, NJ
Registration Details
- NPI Number
- 1770632879
- Provider Type
- Organization
- NPI Issued
- Jan 9, 2007 (19.282423364913 yrs)
- Last Updated
- Aug 22, 2020
- License
-
25MA05832500 (NJ)
Practice Information
- Address
-
667 EAGLE ROCK AVEWEST ORANGE, NJ, 070522177Browse NJ providers · Browse ZIP 07052
- Phone
- 9737318112
- Primary Specialty
-
Athletic Trainer
225500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.