Individual
EDMUND GIROUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 LAKE ST, SOUTH PLAINFIELD, NJ 07080-3627
(908) 754-4620
Mailing address
4 STEVENS CT, BEDMINSTER, NJ 07921-1842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00173500
NJ
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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