Individual
MR. THOMAS JOHN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11 MILLRIDGE RD, SECAUCUS, NJ 07094-4303
(201) 873-2779
Mailing address
486 BLANCHARD TER APT 76, HACKENSACK, NJ 07601-1453
(201) 873-2779
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00138400
NJ
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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