Individual
SIMON PETER ROSENBLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 CEDAR AVE, W LONG BRANCH, NJ 07764-1804
(732) 263-5249
Mailing address
2448 STEINER RD, MANCHESTER, NJ 08759-6137
(732) 674-1405
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00079200
NJ
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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