Individual
CARSON DAVID WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(201) 563-7904
Mailing address
300 POMPTON RD, WAYNE, NJ 07470-2103
(201) 563-7904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00296800
NJ
Other
Enumeration date
04/27/2022
Last updated
09/28/2022
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