Individual
NICHOLAS BIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 MEADOWVIEW CIR, MARLTON, NJ 08053-1413
(856) 630-5637
Mailing address
107 MEADOWVIEW CIR, MARLTON, NJ 08053-1413
(856) 630-5637
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005326
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/19/2016
Last updated
06/07/2017
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