Individual
NOAH CHARLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
305 BLACK ROCK TPKE, FAIRFIELD, CT 06825-5508
(203) 337-2600
Mailing address
145 WILLIAMS RD, TRUMBULL, CT 06611-4353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
54.001369
CT
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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