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Individual

MR. JEFF DOUGLAS PODESZWA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
B.S., ATC

Contact information

Practice address
18 MANSION HILL DR, EWING, NJ 08628-2656
(609) 613-1158
Mailing address
18 MANSION HILL DR, EWING, NJ 08628-2656
(609) 613-1158

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/27/2015
Last updated
06/08/2016
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