Individual
MR. BRIAN C MCCLOSKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CEAS II
Contact information
Practice address
986 MAIN ST, SEWELL, NJ 08080-4552
(610) 322-9176
Mailing address
986 MAIN ST, SEWELL, NJ 08080-4552
(610) 322-9176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00270200
NJ
2255A2300X
Athletic Trainer
Primary
RT002070A
PA
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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