Individual
MADISON KITCHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2500 ENGLISH CREEK AVE STE 1300, EGG HARBOR TOWNSHIP, NJ 08234-5598
(800) 321-9999
Mailing address
8 ASBURY AVE, OCEAN CITY, NJ 08226-4321
(609) 741-5792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00294600
NJ
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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