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Individual

MICHAEL VANKOPPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
1040 ORADELL AVE, ORADELL, NJ 07649-1954
(201) 261-1844
Mailing address
14 BOGERT RD, PINE BROOK, NJ 07058-9726
(973) 618-6738

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00270300
NJ

Other

Enumeration date
05/07/2020
Last updated
05/07/2020
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