Individual
MATTHEW PAUL BRUCKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, MED
Contact information
Practice address
30 LOG BRIDGE RD, MIDDLETON, MA 01949-2252
(518) 222-9049
Mailing address
30 LOG BRIDGE RD, MIDDLETON, MA 01949-2252
(518) 222-9049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1841
MA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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