Individual
VANESSA MAHONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 PATRIOTS PARK, BRIDGEWATER, NJ 08807-3454
(908) 203-5972
Mailing address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(290) 865-2200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00148900
NJ
Other
Enumeration date
11/27/2019
Last updated
11/27/2019
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