Individual
ANDREW WAER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1145 KING RD, IMMACULATA, PA 19345-9903
(610) 647-4400
Mailing address
590 LOWER LANDING RD APT 5F, BLACKWOOD, NJ 08012-4205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
25MT00197100
NJ
2255A2300X
Athletic Trainer
J3-0000436
DE
2255A2300X
Athletic Trainer
Primary
RT005909
PA
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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