Individual
MR. PETER C KOENIGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED., ATC, CSCS
Contact information
Practice address
298 HILLSIDE AVE, ALLENDALE, NJ 07401-1447
(201) 327-8700
Mailing address
513 RIVERVALE RD, RIVER VALE, NJ 07675-6468
(201) 970-4470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MT805
NJ
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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