Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. MATTHEW RYAN BALE-PENA, ATC, CSCS
Active Sole ProprietorMR. MATTHEW RYAN BALE-PENA, ATC, CSCS is a Athletic Trainer healthcare provider located in BERNARDSVILLE, New Jersey. NPI 1871744532 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · BERNARDSVILLE, NJ
Registration Details
- NPI Number
- 1871744532
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2008 (17.889895667072 yrs)
- Last Updated
- Sep 30, 2008
- License
-
25MT00146300 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25 OLCOTT AVEBERNARDSVILLE, NJ, 079242307Browse NJ providers · Browse ZIP 07924
- Phone
- 9082041930
- 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.