Individual
MR. JASON ROBERT RADEMACHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
112 BROAD STREET, RED BANK, NJ 07701
(732) 747-1211
(732) 747-6744
Mailing address
17 ROZLYN CT, EATONTOWN, NJ 07724-9616
(908) 902-4540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1043
TN
2255A2300X
Athletic Trainer
Primary
25MT00145500
NJ
Other
Enumeration date
12/28/2006
Last updated
09/04/2008
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