Individual
DYLAN ROBERT THEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL # 08901, NEW BRUNSWICK, NJ 08901-1928
(201) 218-5137
Mailing address
185 CEDAR AVE, HACKENSACK, NJ 07601-2953
(201) 218-5137
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00326100
NJ
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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