Individual
MR. JOHN RICHARD LAIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2101 CHAPEL AVE W, CHERRY HILL, NJ 08002-2052
(856) 663-8006
Mailing address
414 MIDVALE RD, UPPER DARBY, PA 19082-3709
(610) 352-4455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00026400
NJ
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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