Individual
MATTHEW TILTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 CEDAR AVE, WEST LONG BRANCH, NJ 07764-1804
(848) 246-7251
Mailing address
105 PENN BEACH DR, PENNSVILLE, NJ 08070-3643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00270900
NJ
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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