Individual
MR. PHILLIP DANIEL RICHTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
200 WADE BLVD, MILLVILLE HIGH SCHOOL, MILLVILLE, NJ 08332
(856) 327-6040
Mailing address
710 OVERBROOK AVE, MILLVILLE, NJ 08332-1515
(856) 327-6040
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00076900
NJ
Other
Enumeration date
05/18/2006
Last updated
07/08/2007
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