Individual
JASON DAVID BYRNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
415 SOUTH ST, BRANDEIS UNIVERSITY SPORTS MEDICINE MS007, WALTHAM, MA 02453-2728
(781) 736-3664
(781) 736-3656
Mailing address
415 SOUTH ST, BRANDEIS UNIVERSITY SPORTS MEDICINE MS007, WALTHAM, MA 02453-2728
(781) 736-3664
(781) 736-3656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2453
MA
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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