Individual
ADAM ELSIEIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS
Contact information
Practice address
900 LAKEWOOD AVE, LAKEWOOD, NJ 08701
(732) 691-0779
Mailing address
202 DUTCH LANE RD, FREEHOLD, NJ 07728
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00228300
NJ
Other
Enumeration date
09/03/2017
Last updated
09/03/2017
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