Individual
EILEEN GUNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
148 ARNEYS MOUNT RD, PEMBERTON, NJ 08068-1313
(609) 893-8141
Mailing address
5404 SOUTH LONG BEACH BLVD, HOLGATE, NJ 08008
(609) 217-8232
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00029400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22
—
NJ
Enumeration date
04/21/2014
Last updated
04/21/2014
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