Individual
MR. MATTHEW MCKOWEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4 BANTRY CT, HIGHLAND LAKES, NJ 07422-1009
(201) 953-9215
Mailing address
4 BANTRY CT, HIGHLAND LAKES, NJ 07422-1009
(201) 953-9215
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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