Individual
SHAWN MALYSZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
850 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1608
(732) 747-1959
Mailing address
850 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1608
(732) 747-1959
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00160400
NJ
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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