Individual
DR. AMBER HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, ATC, LAT
Contact information
Practice address
303 UNIVERSITY AVE, NEWARK, NJ 07102-1798
(975) 877-1850
Mailing address
200 HOFFMAN BLVD APT 3C, NEW BRUNSWICK, NJ 08901-1555
(757) 618-1113
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
003096
NY
2255A2300X
Athletic Trainer
Primary
25MT00234700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BOL0000182
BOLINGER
NJ
Enumeration date
02/20/2021
Last updated
02/20/2021
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