Individual
MR. JOHN JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
631 S COLLEGE AVE, 142 BCC TRAINING ROOM, NEWARK, DE 19716-2010
(302) 738-2766
Mailing address
6 ARLINGTON ST, NEWARK, DE 19711-4362
(302) 831-2196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
DE
Other
Enumeration date
06/27/2006
Last updated
07/08/2007
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