Individual
MR. MATTHEW RYAN NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
5 LINDSAY LANE, PETERSBURG, NJ 08270
(609) 289-2115
Mailing address
5 LINDSAY LANE, PETERSBURG, NJ 08270
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005402
PA
Other
Enumeration date
09/18/2013
Last updated
09/18/2013
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