Individual
JUSTIN DAVID MILOSZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
450 ERIAL RD, BLACKWOOD, NJ 08012-4583
(856) 227-4100
Mailing address
71 SOFIA DR, BLACKWOOD, NJ 08012-5357
(856) 435-3171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00152300
NJ
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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