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Individual

NICHOLAS HODGMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
1000 RIVER RD, TEANECK, NJ 07666-1938
(201) 398-8324
Mailing address
34 SADDLE RANCH LN, HILLSDALE, NJ 07642-1319
(201) 739-6282

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00193400
NY

Other

Enumeration date
06/21/2021
Last updated
06/21/2021
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