Individual
MR. JUSTIN DANIEL MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, PT, DPT
Contact information
Practice address
1925 GIANTS DR, EAST RUTHERFORD, NJ 07073-2140
(201) 935-8111
Mailing address
211 PALSA AVE, ELMWOOD PARK, NJ 07407-1216
(201) 873-0302
(201) 935-0889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00168300
NJ
Other
Enumeration date
01/24/2013
Last updated
04/05/2018
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