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Individual

MR. JONATHAN MADDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S, ATC, CSCS

Contact information

Practice address
169 HARBOR INN RD, BAYVILLE, NJ 08721-3657
(732) 691-5952
Mailing address
169 HARBOR INN RD, BAYVILLE, NJ 08721-3657
(732) 691-5952

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/27/2010
Last updated
09/27/2010
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