Individual
TYLER HA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 MADISON AVE, MADISON, NJ 07940-1434
(973) 408-3223
Mailing address
545 CARLETON ST, BOUND BROOK, NJ 08805-1224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00351100
NJ
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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