Individual
DOUG PADRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
400 CEDAR AVENUE, MONMOUTH UNIVERSITY, WEST LONG BRANCH, NJ 07764-1898
(732) 571-3672
(732) 263-5265
Mailing address
400 CEDAR AVENUE, MONMOUTH UNIVERSITY, WEST LONG BRANCH, NJ 07764-1898
(732) 571-3672
(732) 263-5265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
089702581
NJ
390200000X
Student in an Organized Health Care Education/Training Program
089702381
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
089702581
CERTIFICATION NUMBER
NJ
Enumeration date
07/02/2008
Last updated
07/02/2008
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