Individual
JAYME T LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1000 MORRIS AVE STE 1, UNION, NJ 07083-7131
(908) 737-5452
Mailing address
1000 MORRIS AVE STE 1, UNION, NJ 07083-7131
(908) 737-5452
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00181500
NJ
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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