Individual
MR. WAYNE ALLAN WEDDERMAN JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
180 BENGAL BLVD, BARNEGAT, NJ 08005-2159
(609) 660-7510
Mailing address
180 BENGAL BLVD., BARNEGAT, NJ 08005
(609) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00078400
NJ
Other
Enumeration date
04/21/2006
Last updated
07/08/2007
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