Individual
MR. CHAD BRIAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 COOPER FOLLY RD, ATCO, NJ 08004-2649
(856) 767-7222
(856) 767-5411
Mailing address
6 WHITE EAGLE CT, MEDFORD, NJ 08055-9742
(609) 760-0801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00068100
NJ
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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