Individual
MR. JAMES WILLIAM ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
765 NEWMAN SPRINGS RD, LINCROFT, NJ 07738-1543
(732) 224-2755
(732) 224-2155
Mailing address
51 SILOAM RD, FREEHOLD, NJ 07728-8605
(732) 299-6562
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00143300
NJ
Other
Enumeration date
04/28/2008
Last updated
04/28/2008
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