Individual
ROBERT EDWARD TAGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 GREEN MOUNTAIN RD, FREEHOLD, NJ 07728-3019
(732) 804-4310
Mailing address
48 GREEN MOUNTAIN RD, FREEHOLD, NJ 07728-3019
(732) 804-4310
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
07/12/2015
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