Individual
ANDREW MICHAEL MCNELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 CUTHBERT BLVD, CHERRY HILL, NJ 08002-2904
(856) 663-2247
(856) 661-0632
Mailing address
1008 MICAWBER DR, WILLIAMSTOWN, NJ 08094-2139
(856) 340-9524
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00240200
NJ
Other
Enumeration date
07/23/2017
Last updated
07/23/2017
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