Individual
MR. TIMOTHY HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
712 PHILADELPHIA BLVD, SEA GIRT, NJ 08750-2513
(732) 245-2860
Mailing address
PO BOX 463, SEA GIRT, NJ 08750-0463
(732) 245-2860
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00096700
NJ
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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