Individual
MICHAEL JAMISON TREMBLAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
CALDWELL FIELDHOUSE PRINCETON UNIVERSITY CAMPUS, PRINCETON, NJ 08544-0001
(609) 258-3527
Mailing address
28108 CHERRY BLOSSOM CT, LAWRENCE TOWNSHIP, NJ 08648-1287
(774) 644-9768
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00270600
NJ
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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