Individual
MR. CHARLES N. BORROMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, ATC
Contact information
Practice address
901 ROUTE 73 N STE B, MARLTON, NJ 08053-2034
(856) 222-9713
(856) 222-9714
Mailing address
5 SILVER HILL LN, VOORHEES, NJ 08043-4731
(609) 636-7441
(856) 222-9714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00058300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029402422
NATA BOC CERT #
NJ
01
—
1023055381
NPI-2 ORGANIZATION
NJ
01
—
25MT00058300
NEW JERSEY LICENSE/REG #
NJ
01
—
922067
N.A.T.A. MEMBER #
NJ
Enumeration date
07/06/2006
Last updated
01/30/2024
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