Individual
MR. BRYAN ANDREW EHNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1033 SPRINGFIELD AVE, CRANFORD, NJ 07016-1528
(908) 497-4368
Mailing address
711 COLONIAL ARMS RD, UNION, NJ 07083-7607
(609) 290-3436
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00136200
NJ
Other
Enumeration date
12/12/2006
Last updated
07/08/2007
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