Individual
CHAD JOSEPH DORTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1209 RIVERSIDE DR, MAYS LANDING, NJ 08330-1480
(856) 982-8592
Mailing address
1209 RIVERSIDE DR, MAYS LANDING, NJ 08330-1480
(856) 982-8592
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/06/2017
Last updated
05/04/2023
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