Individual
MR. TIMOTHY PATRICK COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
425 S MAIN ST, HOPEWELL VALLEY REGIONAL SCHOOL DISTRICT, PENNINGTON, NJ 08534-2716
(609) 737-4000
(609) 737-2947
Mailing address
7 FAIRBANKS PL, LAWRENCEVILLE, NJ 08648-4337
(609) 777-9299
(609) 777-9299
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00041100
NJ
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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