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Individual

DR. DAVID MIDDLEMAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ED.D., ATC

Contact information

Practice address
MONTCLAIR STATE UNIVERSITY, 1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(973) 655-4000
Mailing address
MONTCLAIR STATE UNIVERSITY, 1 NORMAL AVE, MONTCLAIR, NJ 07043-1624

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00040200
NJ

Other

Enumeration date
04/03/2009
Last updated
04/03/2009
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